摘要
目的探讨引起腹股沟疝复发的因素。方法对重庆医科大学附属第一医院1996年1月至2011年12月收治的腹股沟疝患者,采用Logistic回归方程分析其疝的类型(斜疝、直疝、股疝),年龄(≥50岁、<50岁),性别、手术方式(传统疝修补术与无张力疝修补术),术前合并症以及手术后的并发症与手术后复发的危险关系。结果共施行腹股沟疝修补术1582例次,其中初发疝占91.5%,复发疝占8.5%。与传统的疝修补术相比,无张力疝修补术对复发疝再手术的相对危险度低,男性、直疝、复发疝和术前合并症未控制是手术后复发的重要危险因素。结论术后并发症与术后复发无明显相关关系,积极控制术前合并症及采用无张力疝修补术可降低复发性腹股沟疝的再发。
Objective To retrospectively analyze the risk factors of recurrent groin hernia. Methods Data were collected from all hernia repairs in The First Hospital Affiliated to Chongqing Medical University during January 1996 to December 2011. The type of hernias （ indirect inguinal hernia, direct hernia, and femoral hernia） ,age （≥50 years, 〈 50 years）, gender, type of operations （traditional repair and tension-free hernia） ,preoperative complications, postoperative complications and the relationship of postoperative recur- rence were analyzed by a logistic regression model. Results A total of 1 582 patients were operated with hernia repair including 91.5% of primary hernia and 8.5% of recurrent hernia. Compared to the traditional hernia,the relative risk of tension-free repair was low. Male, direct hernia, recurrent hernia and preoperative complications were the risk factors for postoperative recurrence. Conclusions Postoperative complications were not linked to an increased relative risk for recurrence. The application of tension-free hernia repair and control of preoperative complications may decrease recurrence of recurrent hernia.
出处
《中华疝和腹壁外科杂志（电子版）》
2013年第1期26-29,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
复发
危险因素
手术后并发症
Hernia, inguinal
Recurrence
Risk factors
Postoperative complications
