Clinical Effect of Tension-free Hernioplasty in Elderly Patients with Inguinal Hernia and the Risk Factors of Postoperative Deep Vein Thrombosis
Objective To explore the clinical effect of tension-free hernioplasty treatment for elderly patients with inguinal hernia(IH),and analyze the risk factors of postoperative deep vein thrombosis(DVT).Methods A total of 92 elderly IH patients who were admitted in Xinyang Third People's Hospital from January 2018 to January 2022 were selected,all of whom received tension-free hernia repair surgery,perioperative indicators and the incidence of DVT were analyzed.Univariate analysis and logistic multivariate regression analysis were conducted to identify the risk factors for DVT after tension-free hernia repair in elderly inguinal hernia patients.Results The operative time of 92 elderly patients with IH was(45.82±5.94)min,the amount of intraoperative blood loss was(33.49±6.21)mL,the postoperative anal exhaust time was(28.16±3.78)h,and the length of hospital stay was(5.73±0.96)d.Among them,17(18.48%)patients with DVT were set as the DVT group,and the remaining 72 patients without DVT were set as the non-DVT group.The proportion of patients with age≥70 years old,BMI≥25 kg/m2,combined hypertension,combined varicose veins,postoperative ambulatory time≥36 hours,and hospitalization time≥4 days in the DVT group were higher than the without DVT group,and the difference was statistically significant(P＜0.05).The results of logistic multivariate analysis showed that age≥70 years old(OR=2.793),BMI≥25 kg/m2(OR=2.906),concomitant hypertension(OR=3.417),concomitant varicose veins(OR=3.8291),postoperative ambulatory time≥36 hours(OR=3.256),and hospitalization time≥4 days(OR=2.948)were independent risk factors for DVT in elderly IH patients after tension-free hernioplasty,and the difference was statistically significant(P＜0.05).Conclusion Tension-free hernioplasty has a good clinical effect in the treatment of elderly IH,but it is prone to postoperative DVT,which is closely related to age,BMI,concomitant hypertension,varicose veins,postoperative ambulatory time,and hospital stay.
国家科技期刊平台
NSTL
万方数据
维普
