腹股沟斜疝患儿腹腔镜修补术后复发的危险因素及预防对策  

Risk factors and preventive measures for recurrence after laparoscopic repair of pediatric indirect inguinal hernia

作　　者：丁斌 潘振楠 蒋明珠 DING Bin;PAN Zhen-nan;JIANG Ming-zhu(Department of Pediatric Surgery,Zhumadian Central Hospital,Zhumadian 463000,Henan,CHINA)

机构地区：[1]驻马店市中心医院小儿外科,河南驻马店463000

出　　处：《海南医学》2025年第7期1025-1028,共4页Hainan Medical Journal

基　　金：2023年度河南省南阳市科技发展计划项目(编号:23KJGG257)。

摘　　要：目的研究腹股沟斜疝患儿腹腔镜修补术后复发的危险因素并提出预防对策。方法回顾性分析2022年1月至2024年2月驻马店市中心医院收治的106例腹股沟斜疝患儿的临床资料,根据患儿术后是否出现复发分为复发组9例与无复发组97例。采用单因素及多因素Logistic回归分析法分析腹股沟斜疝患儿腹腔镜修补术后复发的影响因素。结果复发组患儿年龄<1岁、内环口直径>2 cm、疝后壁腹膜松弛、无高位结扎、可吸收缝合线占比分别为66.67%、55.56%、66.67%、77.78%、66.67%,明显高于无复发组患儿的24.74%、13.40%、26.80%、36.08%、29.90%,差异均有统计学意义(P<0.05);多因素Logistic回归分析结果显示,年龄、内环口直径、疝后壁腹膜松弛、缝合线均是腹股沟斜疝患儿腹腔镜修补术后复发的危险因素(P<0.05),高位结扎是复发的保护因素(P<0.05)。结论腹股沟斜疝患儿腹腔镜修补术后复发与多种因素有关,临床应尽早评估患儿术后复发风险,并针对相关因素制定预防策略,预防复发。Objective To investigate the risk factors for recurrence after laparoscopic repair of indirect inguinal hernia in children and propose preventive measures.Methods A retrospective analysis was conducted on the clinical data of 106 children with indirect inguinal hernia treated at Zhumadian Central Hospital from January 2022 to February 2024.The children were divided into a recurrence group(9 cases)and a non-recurrence group(97 cases)based on whether they experienced postoperative recurrence.Univariate and multivariate logistic regression analyses were used to identify the influencing factors for recurrence after laparoscopic repair.Results The recurrence group had significantly higher proportions of children aged<1 year(66.67%),internal ring diameter>2 cm(55.56%),relaxed posterior hernia wall peritoneum(66.67%),absence of high ligation(77.78%),and use of absorbable sutures(66.67%)compared to the non-recurrence group(24.74%,13.40%,26.80%,36.08%,and 29.90%),P<0.05.Multivariate logistic regression analysis showed that age,internal ring diameter,relaxed posterior hernia wall peritoneum,and type of suture were risk factors for recurrence(P<0.05),while high ligation was a protective factor(P<0.05).Conclusion Recurrence after laparoscopic repair of indirect inguinal hernia in children is associated with multiple factors.Clinicians should assess the risk of recurrence early and develop preventive strategies based on relevant factors to prevent recurrence.

关 键 词：儿童 腹股沟斜疝 腹腔镜修补术 复发 危险因素 预防对策 

分 类 号：R726[医药卫生—儿科]