老年患者经腹腹膜前疝修补术后发生并发症的危险因素分析  

Analysis of risk factors for postoperative complications in elderly patients undergoing transabdominal preperitoneal hernia repair surgery

作　　者：李华志[1] 许臣 吴永哲[1] Li Huazhi;Xu Chen;Wu Yongzhe(Department of General Surgery,Beijing Chuiyangliu Hospital,Beijing 100022,China)

机构地区：[1]北京市垂杨柳医院普外科,100022

出　　处：《中华疝和腹壁外科杂志(电子版)》2025年第1期96-98,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨分析老年患者经腹腹膜前疝修补术后发生并发症的危险因素。方法选择2021 年1 月至2023 年12 月北京市垂杨柳医院收治的300 例老年腹股沟疝患者为研究对象,术后随访12~24 个月观察并发症的发生情况,采用单因素分析与Logistic 回归分析术后并发症发生的独立危险因素。结果本研究共收治患者300 例,术后随访12~24 个月,失访患者18 例,最终纳入患者282 例,其中并发症患者46 例(16.31%)。单因素分析结果显示,体重指数(BMI)、年龄、粘连程度、术前是否合并基础疾病、补片类型及疝类型比较,差异有统计学意义(P<0.05)。多因素Logistic 回归分析结果显示,BMI、年龄、粘连程度、疝类型、术前是否合并基础疾病是发生并发症的危险因素(P<0.05)。结论经腹腹膜前疝修补术后老年患者的并发症发生率不低,其中患者BMI、年龄、粘连程度、术前是否合并基础疾病、疝类型是并发症发生的危险因素,对于该类患者在围手术期应着重针对相关危险因素制定有效的诊疗及护理策略。ObjectiveThis study aimed to analyze the risk factors for postoperative complications following transabdominal preperitoneal hernia repair (TAPP) in elderly patients.MethodsA total of 300 elderly inguinal hernia patients treated at Chuiyangliu Hospital in Beijing from January 2021 to December 2023 were included.Postoperative complications were followed up over a period of 12 to 24 months.Univariate and logistic regression analyses were used to identify independent risk factors for postoperative complications.ResultsOut of the initial 300 patients, 18 were lost to follow-up, resulting in a final cohort of 282 patients.Among these, 46 patients (16.31%) experienced postoperative complications.Univariate analysis revealed significant differences in body mass index (BMI), age, degree of adhesion,presence of comorbidities preoperatively, choice of mesh, and hernia type (P<0.05).Multivariate logistic regression analysis identified BMI, age, degree of adhesion, hernia type, and the presence of preoperative comorbidities as independent risk factors for the development of postoperative complications (P<0.05).ConclusionThe incidence of postoperative complications in elderly patients undergoing transabdominal preperitoneal hernia repair (TAPP) is considerable.Factors such as BMI, age, degree of adhesion, presence of preoperative comorbidities, and hernia type significantly increase the risk of complications.It is crucial to develop effective diagnostic, therapeutic, and nursing strategies that specifically address these risk factors during the perioperative period for this patient population.

关 键 词：疝 腹股沟 疝修补术 并发症 危险因素 老年人 

分 类 号：R47[医药卫生—护理学]