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Abstract：
To explore the influencing factors of complications after laparoscopic inguinal hernia repair (LIHR). A case retrospective analysis was conducted to collect clinical data of 212 patients with inguinal hernia who underwent LIHR in our hospital from July 2020 to October 2022. The patients were followed up by telephone and subsequent visit, and the enrolled patients were divided into the complication group (n = 36) and the non-complication group (n = 176) according to the presence or absence of complications. Chi-square test was used for univariate analysis, and the data with statistical significance between groups were included in the multivariate Logistic regression analysis model to investigate the risk factors for complications associated with LIHR. Common complications in patients undergoing LIHR included seroma, hematoma, urinary retention, unexplained chronic pain, etc. Body mass index (BMI), intraoperative blood loss, medical history time, hernia sac management, intraoperative adhesions, abnormal coagulation function, recurrent hernia, and hypertension were the influencing factors for complications after LIHR (χ2 = 6.809, 13.393, 5.371, 5.775, 4.128, 5.331, 4.920, and 6.675, P < .05). Multivariate analysis showed that BMI (odd ratio [OR] = 5.201, 95% confidence interval [CI] = 0.816-6.965, P < .05), intraoperative blood loss (OR = 2.512, 95% CI = 1.712-3.689, P < .05), intraoperative adhesions (OR = 6.352, 95% CI = 0.162-6.669, P < .05), abnormal coagulation function (OR = 6.352, 95% CI = 0.162-6.669, P < .05), recurrent hernia (OR = 2.208, 95% CI = 1.415-3.446, P < .05), and hypertension (OR = 3.365, 95% CI = 0.009-6.326, P < .05) were independent risk factors for complications after LIHR (P < .05). Common complications of LIHR included seroma, hematoma, urinary retention, etc. BMI, intraoperative blood loss, intraoperative adhesions, abnormal coagulation function, recurrent hernia, and hypertension were risk factors for complications after LIHR.
摘要：
探讨腹腔镜腹股沟疝修补术(LIHR)后并发症的影响因素。回顾性分析2020年7月至2022年10月在我院行LIHR的212例腹股沟疝患者的临床资料。对患者进行电话随访,随后进行访视,根据有无并发症分为并发症组(n=36)和无并发症组(n=176)。单变量分析采用卡方检验，并将组间有统计学意义的数据纳入多因素Logistic回归分析模型,探讨LIHR相关并发症的危险因素.接受LIHR的患者的常见并发症包括血清肿，血肿,尿潴留,无法解释的慢性疼痛,等。身体质量指数(BMI),术中失血,病史时间，疝囊管理,术中粘连,凝血功能异常，复发性疝,高血压是LIHR术后并发症的影响因素(χ2=6.809、13.393、5.371、5.775、4.128、5.331、4.920和6.675，P<0.05)。多因素分析显示BMI(奇数比[OR]=5.201,95%置信区间[CI]=0.816-6.965,P<0.05),术中失血量(OR=2.512,95%CI=1.712-3.689,P<.05),术中粘连(OR=6.352,95%CI=0.162~6.669,P<.05),凝血功能异常(OR=6.352,95%CI=0.162-6.669,P<.05),复发疝(OR=2.208,95%CI=1.415-3.446,P<.05),高血压（OR=3.365，95％CI=0.009-6.326，P<0.05）是LIHR术后并发症的独立危险因素（P<0.05）。LIHR的常见并发症包括血清肿，血肿,尿潴留,等。BMI,术中失血,术中粘连,凝血功能异常，复发性疝,高血压是LIHR术后并发症的危险因素。
