摘要目的 分析腹腔镜经腹腹膜前疝修补术术后并发症发生的危险因素.方法 选取滕州市中心人民医院2014年3月至2018年2月行腹腔镜经腹腹膜前疝修补术治疗的患者481例的临床资料进行回顾性分析,按术后是否发生并发症分为并发症组与无并发症组(对照组),比较两组患者临床资料,总结并发症发生的危险因素.结果 481例患者中78例(16.2％)患者术后发生并发症.并发症组患者年龄、手术时间、疝囊直径、术中出血量、嵌顿疝与复发疝占比分别为65.3％、32.0％、29.5％、85.9％、20.5％、5.1％,对照组分别为46.6％、2.4％、53.8％、30.7％、3.4％、1.4％,两组差异均有统计学意义(x2=9.175、17.354、84.692、82.959、32.444、4.252,均P＜0.05).将以上指标代入多因素回归分析,结果发现年龄＞60岁、手术时间＞100 min、术中出血量＞15 mL、疝囊直径＞4 cm、嵌顿疝等是腹腔镜经腹腹膜前疝修补术术后并发症发生的危险因素.结论 年龄＞60岁、术中出血量＞15 mL、手术时间＞100 min、疝囊直径＞4 cm、嵌顿疝等是导致腹腔镜经腹腹膜前疝修补术术后并发症发生的独立危险因素,对有以上特征的患者应尽早给予干预.

abstractsObjective To investigate the risk factors of postoperative complications after laparoscopic transabdominal preperitoneal hernia repair.Methods The clinical data of 481 cases of laparoscopic preperitoneal hernia repair in the Central People's Hospital of Tengzhou from March 2014 to February 2018 were retrospectively analyzed.The patients were divided into complications group and control group according to whether complications occurred.The clinical data of the two groups were compared and the risk factors of complications were summarized.Results Postoperative complications occurred in 78 cases of 481 patients(16.22％).The proportions of age,operation time,diameter of hernia sac,intraoperative bleeding volume,incarcerated hernia and recurrent hernia in the complications group were 65.3％,32.0％,29.5％,85.9％,20.5％ and 5.1％,respectively,which in the control group were 46.6％,2.4％,53.8％,30.7％,3.4％ and 1.4％,respectively,the differences were statistically significant(x2 =9.175,17.354,84.692,82.959,32.444,4.252,all P ＜ 0.05).The results showed that age ＞ 60 years,operation time ＞ 100 minutes,intraoperative bleeding ＞ 15 mL,hernia sac diameter ＞ 4 cm,incarcerated hernia were the risk factors of postoperative complications after laparoscopic transabdominal preperitoneal hernia repair.Conclusion Age ＞ 60 years old,operation time ＞ 100 minutes,intraoperative bleeding ＞ 15 mL,hernia sac diameter ＞ 4 cm,incarcerated hernia are the independent risk factors of postoperative complications after laparoscopic transperitoneal hernia repair.The patients combined with characteristics above should be given early intervention.