引用本文:朱共元,杨四清,宁海文,徐建国.TAPP术后并发症的危险因素分析[J].中国临床新医学,2019,12(1):57-59.
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TAPP术后并发症的危险因素分析
朱共元,杨四清,宁海文,徐建国
517000 广东,暨南大学附属河源市人民医院普外科
摘要:
[摘要] 目的 分析腹腔镜腹膜前腹股沟疝修补术(transabdominal preperitoneal prosthesis,TAPP)术后并发症的危险因素。方法 选择2015-12~2017-12在该院行TAPP术治疗的336例腹股沟疝患者为研究对象。所有患者均经TAPP术治疗,随访至术后3~6个月,观察在此期间患者手术创口感染、疼痛等术后并发症发生情况,并分析术后并发症发生的相关危险因素。结果 疝环重度粘连及体重指数较高患者术后并发症发生率明显高于轻度粘连及体重指数较轻患者,差异有统计学意义(P<0.05);不同年龄、疝类型、疝囊大小、麻醉方式及补片类型患者之间术后并发症发生率对比,差异无统计学意义(P>0.05)。Logistic回归分析结果显示,疝环重度粘连、体重指数>24 kg/m2均是导致TAPP术后并发症的高危因素。结论 疝环重度粘连、体重指数>24 kg/m2、疝囊大小>5 cm均是导致TAPP术后并发症的高危因素。
关键词:  腹膜修补术  腹股沟疝环  并发症
DOI:10.3969/j.issn.1674-3806.2019.01.15
分类号:R 656.2
基金项目:
Risk factors of postoperative complications following TAPP
ZHU Gong-yuan, YANG Si-qing, NING Hai-wen, et al.
Department of General Surgery, Heyuan Municipal People′s Hospital Affiliated to Jinan University, Guangdong 517000, China
Abstract:
[Abstract] Objective To analyze the risk factors of postoperative complications following transabdominal preperitoneal prosthesis(TAPP). Methods 336 patients with inguinal hernia treated with TAPP in our hospital from December 2015 to December 2017 were enrolled. All the patients were followed up for 3 to 6 months after operation, and the incidence of postoperative complications such as infection and pain were observed during this period. The risk factors related to postoperative complications were analyzed. Results The incidence of postoperative complications in hernia patients with severe adhesion and high body mass index was significantly higher than that in hernia patients with mild adhesion and low body mass index(P<0.05). There were no significant differences in the incidence rates of postoperative complications among the patients with different ages, types of hernia, sizes of hernia sac, anesthesia and patch types(P>0.05). Logistic regression analysis showed that severe adhesions of hernia ring and body mass index >24 kg/m2 were the risk factors of postoperative complications following TAPP. Conclusion Severe adhesions of hernia ring, body mass index >24 kg/m2 and the diameter of hernia ring >5 cm are the risk factors of postoperative complications following TAPP.
Key words:  Peritoneal repair  Inguinal ring  Complications