无症状套管针穿刺部位疝：腹腔镜手术被低估的一种并发症。
Asymptomatic trocar site hernias: An underestimated complication of laparoscopy.
作者信息
Üstünyurt Emin, Taşgöz Fatma Nurgül, Tiğrak Sefa
机构信息
University of Health Sciences Turkey, Bursa Yüksek İhtisas Training and Research Hospital, Clinic of Gynecology, Bursa, Turkey.
University of Health Sciences Turkey, Bursa Yüksek İhtisas Training and Research Hospital, Clinic of Radiology, Bursa, Turkey.
出版信息
Turk J Obstet Gynecol. 2020 Sep;17(3):202-208. doi: 10.4274/tjod.galenos.2020.70952. Epub 2020 Oct 2.
OBJECTIVE
To estimate the exact incidence of trocar site hernia (TSH) through sonographic examination and to evaluate the predisposing risk factors of TSH.
MATERIALS AND METHODS
Three hundred patients who underwent laparoscopic surgery for benign gynecologic indications were included in this study and called back for a follow-up visit. All patients underwent an ultrasound evaluation for the detection of TSH. Risk factors for TSH formation were investigated.
RESULTS
Twenty-five (8.3%) TSHs were diagnosed among 300 postoperative laparoscopies. The highest rate of TSH development among the surgeries was found in tubal ligation cases with 19%. Parity ≥3 [odds ratio (OR), 3.13; 95% confidence interval (CI): 1.21-8.09; p=0.018], and not closing fascia (OR: 6.74; 95% CI: 2.72-16.70; p<0.001) were statistically significant risk factors for the development of TSH in multivariate analysis.
CONCLUSION
The prevalence of TSH is higher than previously reported, and ultrasonographic examination is adequate for detecting subclinical types of this complication.
目的
通过超声检查评估套管针穿刺部位疝（TSH）的准确发病率，并评估TSH的易感风险因素。
材料与方法
本研究纳入300例因良性妇科疾病接受腹腔镜手术的患者，并召回进行随访。所有患者均接受超声检查以检测TSH。对TSH形成的风险因素进行调查。
结果
300例术后腹腔镜检查中诊断出25例（8.3%）TSH。输卵管结扎手术中TSH发生率最高，为19%。多因素分析显示，产次≥3（比值比[OR]，3.13；95%置信区间[CI]：1.21-8.09；p=0.018）和未关闭筋膜（OR：6.74；95%CI：2.72-16.70；p<0.001）是TSH发生的统计学显著风险因素。
结论
TSH的患病率高于先前报道，超声检查足以检测该并发症的亚临床类型。
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