腹腔镜经腹腹膜前疝修补术后皮下积液的危险因素分析

目的探讨腹腔镜经腹腹膜前疝修补术（TAPP）后皮下积液的发生率及高危因素分析。 方法回顾性分析2017年2月至2018年2月江苏省淮安市肿瘤医院TAPP治疗的82例原发性单侧腹股沟疝患者的临床资料，应用单因素及Logistic多因素分析患者术后皮下积液发生率的相关高危因素。 结果单因素分析表明显示网片固定方式、腹股沟疝缺损大小及腹股沟疝类型对术后皮下积液的发生率有着非常显著的影响（P<0.05），而性别、年龄、体质量指数、ASA评分及是否合并内科疾病不相关（P>0.05）。多因素分析显示缺损大小分级越高及未固定网片均是皮下积液发生的独立危险因素。 结论TAPP治疗腹股沟疝术后皮下积液的发生率与网片固定方式及腹股沟疝缺损大小相关。

Risk factors analysis of subcutaneous seroma following transabdominal preperitoneal hernia repair

ObjectiveTo investigate the incidence and risk factors of subcutaneous seroma after transabdominal preperitoneal hernia repair (TAPP). MethodsWe retrospectively analyzed the clinical data of 82 patients with primary unilateral inguinal hernia undergoing TAPP treatment in Jiangsu Huai'an City Tumor hospital from February 2017 to February 2018. Logistic univariate analysis and multivariate analysis were used to analyze the incidence and related risk factors of subcutaneous seroma. ResultsUnivariate analysis showed that mesh fixation, size of hernia defect and inguinal hernia type had a significant effect on the incidence of postoperative subcutaneous seroma (P<0.05). While gender, age, body mass index, ASA score and comorbidity were not related (P>0.05). Multivariate analysis showed that the hernia defect size and non-fixation were independent risk factors for the occurrence of postoperative subcutaneous seroma. ConclusionThe incidence of subcutaneous seroma after TAPP in the treatment of inguinal hernia was related to mesh fixation method and inguinal hernia defect size.