探究经腹腹膜前疝修补术（TAPP）对腹股沟斜疝疗效的影响因素。

选取2018年9月至2021年9月在德驭医疗马鞍山总医院行TAPP治疗的360例腹股沟斜疝患者，术后随访6个月，观察术后复发情况，收集患者的临床及随访资料，对术后复发进行单因素与多因素分析，探讨影响TAPP疗效的因素。

单因素分析结果显示，患者的性别、年龄、体重指数、吸烟史、慢性便秘、腹部外伤史对TAPP治疗腹股沟斜疝，术后6个月的效果有影响（P<0.05）；多因素分析结果显示，患者的性别、年龄、体重指数、吸烟史、慢性便秘是影响TAPP疗效的独立危险因素（P<0.05）。

吸烟、便秘、体重指数高的高龄男性患者会增加TAPP治疗腹股沟疝术后复发的风险，对具有以上因素的患者需进行及时干预调整，以提高TAPP对腹股沟斜疝的临床疗效。

To explore the influencing factors of trans-abdominal preperitoneal hernia repair (TAPP) on the treatment of indirect inguinal hernia.

A total of 360 patients with indirect inguinal hernia who underwent TAPP in Ma’anshan General Hospital of Ranger-Duree Healthcare from September 2018 to September 2021 were selected. All patients were followed up for 6 months after surgery to observe postoperative recurrence. The clinical and follow-up data of patients were collected. Univariate and multivariate analysis were used to explore factors affecting the efficacy of TAPP.

Univariate analysis showed that gender, age, body mass index, smoking history, chronic constipation, and history of abdominal trauma had an impact on the postoperative effect of TAPP in patients with indirect inguinal hernia 6 months after surgery (P<0.05). Multivariate analysis showed that gender, age, body mass index, smoking history, and chronic constipation are independent risk factors affecting the postoperative efficacy of TAPP (P<0.05).

Older male patients with a history of smoking, chronic constipation and high body mass index will increase the risk of recurrence after the treatment of TAPP repair. Timely intervention and adjustment for these patients are needed to improve the clinical efficacy of the treatment of TAPP for inguinal hernia.