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中华疝和腹壁外科杂志(电子版) ›› 2022, Vol. 16 ›› Issue (03) : 370 -374. doi: 10.3877/cma.j.issn.1674-392X.2022.03.029

综述

成人腹股沟疝修补术后慢性疼痛的原因分析
朱校均1, 陈涛1, 焦景怡1, 薛慧敏2, 周纯3, 王鹏2,()   
  1. 1. 226001 江苏省,南通大学医学院
    2. 226001 江苏省,南通大学附属医院肝胆外科
    3. 226001 江苏省,南通大学附属医院全科医学科
  • 收稿日期:2021-06-08 出版日期:2022-06-20
  • 通信作者: 王鹏
  • 基金资助:
    吴阶平医学基金会临床科研专项资助基金(320.6750.18396)

Causes of chronic pain after inguinal hernia repair in adults

Xiaojun Zhu1, Tao Chen1, Jingyi Jiao1, Huimin Xue2, Chun Zhou3, Peng Wang2,()   

  1. 1. Nantong University School of Medicine, Nantong, Nantong 226001, Jiangsu Province, China
    2. Department of Hepatobiliary Surgery, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China
    3. Department of General Practice, Affiliated Hospital of Nantong University, Nantong 226001, Jiangsu Province, China
  • Received:2021-06-08 Published:2022-06-20
  • Corresponding author: Peng Wang
引用本文:

朱校均, 陈涛, 焦景怡, 薛慧敏, 周纯, 王鹏. 成人腹股沟疝修补术后慢性疼痛的原因分析[J]. 中华疝和腹壁外科杂志(电子版), 2022, 16(03): 370-374.

Xiaojun Zhu, Tao Chen, Jingyi Jiao, Huimin Xue, Chun Zhou, Peng Wang. Causes of chronic pain after inguinal hernia repair in adults[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2022, 16(03): 370-374.

腹股沟疝目前主要的治疗手段仍是手术,但术后的慢性疼痛又是不可避免的。腹股沟疝术后慢性疼痛的原因复杂,我们发现高龄、女性、术前的一些基础疾病、高体质量指数、不良的心理因素及患者术前较高的疼痛程度都是患者术后慢性疼痛的危险因素。术者对于术式、补片的选择及术者本身的操作水平也会对慢性疼痛的发生有一定影响。术后补片及切口的感染、术区血肿、术后的早期疼痛及感觉异常亦会导致慢性疼痛的发生。而对于疝类型、麻醉方式及补片固定方式对术后慢性疼痛的影响仍有待于进一步的临床研究。本文旨在总结归纳成人腹股沟疝术后慢性疼痛可能的原因。

Currently, the main treatment for inguinal hernia is still surgery, and chronic pain after hernia surgery is inevitable. The causes of chronic pain after inguinal hernia surgery are complex. We found that advanced age, female sex, some preoperative underlying diseases, high body mass index, adverse psychological factors and higher preoperative pain level are risk factors for postoperative chronic pain. The surgeon's choice of surgical method and mesh and the surgeon's operating level also have a certain impact on the occurrence of chronic pain. Postoperative infection of the mesh and incision, hematoma in the operative area, early postoperative pain and sensory abnormalities can also contribute to the development of chronic pain. Further clinical studies are needed to determine the effect of hernia type, anesthesia and mesh fixation on postoperative chronic pain. The purpose of this article is to summarize the possible causes of chronic pain after inguinal hernia surgery in adults.

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