嵌顿性股疝肠坏死的危险因素分析

摘要

Objective:To investigate the risk factors of intestinal necrosis in incarcerated femoral hernia. Methods:The clinical characteristics of 108 patients with incarcerated femoral hernia were retrospectively analyzed. The risk factors of intestinal necrosis were analysed using logistic regression analysis. Results:Ten (9. 26%) patients were treated with intestinal resection. Taking anticoagulants by oral(OR=9. 8) and duration of symptoms longer than 3 days(OR=2. 3) were the related factors of intestinal necrosisConclusions:Taking anticoagulants by oral and duration of symptoms longer than 3 days in the patients are the related risk factors of intestinal necrosis. The early diagnosis, rapid preoperative assessment and emergency surgery can significantly reduce the fatality rate of the intestinal necrosis patients with incarcerated femoral hernia.%目的:探讨嵌顿性股疝患者肠坏死的危险因素. 方法:回顾性分析108 例嵌顿性股疝患者的临床特征. 方法:采用logistic回归分析确定肠坏死的危险因素. 结果:108例患者中有10例(9. 26%)因肠坏死接受了肠切除手术. 肠坏死相关危险因素包括口服抗凝剂(OR=9. 8)和症状持续时间超过3 d(OR=2. 3). 结论:患者口服抗凝剂治疗和症状持续时间超过3d是发生肠坏死的危险因素. 早期就诊,快速术前评估,急诊手术可显著降低嵌顿性股疝患者肠坏死的病死率.