探讨腹股沟疝修补术后出血的影响因素及口服抗栓药物的影响。

选取2018年1至12月，重庆医科大学附属第一医院收治的559例腹股沟疝患者，进行回顾性分析，研究患者的一般资料、手术方式、手术时机、抗栓药物使用种类与腹股沟疝补片修补术后出血并发症的关系。

559例腹股沟疝手术，患者年龄、性别、手术方式、手术时机、初发或复发疝、抗栓药物的种类等对于术后出血没有明显的相关性。根据严重出血的探查结果，严重出血主要与血管损伤和处理有关。

合理的停用和桥接抗栓药物，避免损伤血管的遗漏是减少腹股沟疝术后出血的重要条件。

To investigate the influencing factors of postoperative bleeding after inguinal hernia repair and the effects of oral antithrombotic agents.

A retrospective analysis was conducted on 559 patients who received inguinal hernia repair in the First Affiliated Hospital of Chongqing Medical University from January 2018 to December 2018. The general information, surgical methods, timing of surgery, types of antithrombotic drugs used were studied and the relationship between bleeding complications was analyzed.

A total of 559 inguinal hernia patients were collected. Age, gender, surgical method, timing of surgery, initial or recurrent hernia, and types of antithrombotic drugs had no significant correlation with postoperative bleeding. According to the investigation results of severe bleeding, severe bleeding was mainly related to vascular injury.

Reasonable deactivation and bridging of antithrombotic drugs and avoid omission of injured blood vessels are important condition for reducing postoperative bleeding in inguinal hernia repair.