【摘要】 目的探讨成人腹股沟嵌顿疝急诊手术中肠坏死的影响因素。方法回顾性分析2015年1月至2020年12月福建省立医院基本外科收治的76例嵌顿性腹股沟疝并行急诊手术患者的病例资料。收集患者年龄、性别、白细胞计数(WBC)、中性粒细胞淋巴细胞比值(NLR)、嵌顿时间、疝病程、疝类型、疝的位置、合并肠梗阻和术中肠管情况等资料,分析影响急诊手术中肠坏死的因素。结果 76例患者中,发生肠坏死者23例,占30.3%。单因素分析结果显示,两组的嵌顿时间(≥24 h)、合并肠梗阻比较,差异有统计学意义(P<0.05);多因素分析结果显示,合并肠梗阻(β=1.732,OR=5.600,95%CI:1.401～22.392)是影响嵌顿性腹股沟疝急诊手术中肠坏死的危险因素。结论合并肠梗阻可作为嵌顿性腹股沟疝急诊手术中肠坏死的术前参考指标。更多还原

【Abstract】 Objective To investigate the influencing factors of intestinal necrosis in emergency operation of adult incarcerated inguinal hernia. Methods The clinical data of 76 patients with incarcerated inguinal hernia who underwent emergency surgery in Fujian Provincial Hospital from January 2015 to December 2020 were retrospectively analyzed.The patient′s age, gender,white blood cell(WBC), neutrophil to lymphocyte ratio(NLR), incarceration time,course of hernia, type of hernia, location of hernia, intestinal obstruction and intestinal condition were collected. Univariate analysis and logistic regression analysis were used to analyze the influencing factors of intestinal necrosis in emergency operation. Results A total of 76 patients were included in the study, intestinal necrosis occurred in 23 cases(30.3%).Univariate analysis showed that incarceration time(≥ 24 hours) and intestinal obstruction had a significant impact on the occurrence of intestinal necrosis in emergency surgery(P<0.05). Logistic regression analysis showed intestinal obstruction(β=1.732,OR=5.600, 95%CI:1.401-22.392) was the risk factor of intestinal necrosis in emergency operation of incarcerated inguinal hernia. Conclusion Intestinal obstruction can be used as a preoperative reference index for intestinal necrosis in emergency operation of incarcerated inguinal hernia.更多还原