临床与病理杂志2017，Vol.37Issue(12)：2561-2565,5.DOI:10.3978/j.issn.2095-6959.2017.12.008
腹腔镜下疝囊高位结扎治疗小儿腹股沟疝术后复发的相关因素
Risk factors for recurrence after laparoscopic high ligation of hernia sac for pediatric inguinal hernia
刘奎 1王瑛 1李正伟1
作者信息
- 1. 河南科技大学第一附属医院小儿外科,河南洛阳471003
- 折叠
摘要
Abstract
Objective:To explore the recurrence rate and its risk factors after laparoscopic high ligation of hernia sac for pediatric inguinal hernia.Methods:A total of 246 patients with pediatric inguinal hernia from January 2013 to July 2016 were enrolled.The recurrence rate and its risk factors were analyzed.Results:Nine cases recurred and the rate was 3.66％.All of them were cured by underwent reoperation.Univariate analysis identified the following risk factors as age,obesity,size of internal inguinal ring,suturing type and surgical experience (P＜0.05).But gender,respiratory disease,concealed hernia,location of hernial sac,course of disease and incarcerated hernia did not have a significant effect on postoperative recurrence (P＞0.05).Logistic regression analysis revealed that age ≥6 years old,size of internal inguinal ring ≥3 cm,absorbable suture and lack of surgical experience were independent risk factors for major complications (P＜0.05).Conclusion:Recurrence aRer laparoscopic high ligation of hernia sac of pediatric inguinal hernia has a certain incidence.Patients with age ≥6 years old,size of internal inguinal ring ≥3 cm,absorbable suture and lack experience of operators tend to recur.关键词
腹腔镜/疝囊高位结扎/腹股沟疝/复发/危险因素Key words
laparoscopy/high ligation of hernia sac/inguinal hernia/recurrence/risk factor引用本文复制引用
刘奎,王瑛,李正伟..腹腔镜下疝囊高位结扎治疗小儿腹股沟疝术后复发的相关因素[J].临床与病理杂志,2017,37(12):2561-2565,5.
