腹膜前无张力疝修补术治疗腹股沟嵌顿疝和/或绞窄疝的疗效观察  

Curative effect of preperitoneal tension -free hernioplasty for inguinal hernia in the treatment of patients with incarcerated hernia and（ or） strangulated hernia

作　　者：赵红林 

机构地区：[1]山西省安泽县中医医院外科042500

出　　处：《中国基层医药》2017年第22期3470-3473,共4页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探索腹膜前无张力疝修补术治疗腹股沟嵌顿疝和/或绞窄疝的临床疗效.方法选取76例腹股沟嵌顿疝和/或绞窄疝患者为研究对象,按照随机数字表法分为两组,每组38例.观察组采用腹膜前无张力疝修补术治疗,对照组采用常规手术治疗.记录两组术中出血量、手术时间、住院时间、术后视觉痛觉评分（VAS）以及术后感染例数.患者出院后1个月对患者进行术后随访,记录患者复工时间、手术部位出现肿块例数以及复发例数.结果观察组术中出血量[（16.23±8.64）mL比（28.19±7.93）mL]、手术时间[（57.13±14.58）min比（74.29±15.01）min]、住院时间[（4.27±1.87）d比（7.09±1.43）d]及术后感染发生率（2.6%比28.9%）均明显短于或小于对照组,差异均有统计学意义（t=6.287、5.055、7.384,χ2=9.896,均P〈0.05）.两组术后24 h VAS评分差异无统计学意义[（7.15±0.59）分比（7.24±0.49）分,t=0.723,P〉00.05],观察组术后48 h VAS评分明显低于对照组,差异有统计学意义[（4.28±1.78）分比（6.19±0.97）分,t=5.808,P〈0.05].观察组出院后1个月内,出现肿块例数（2例比8例）、复发例数（0例比4例）及复工时间[（5.34±1.36）d比（9.27±1.54）d]均小于或短于对照组,差异均有统计学意义（χ2=4.146、4.222,t=11.791,均P〈0.05）.结论腹膜前无张力疝修补术治疗腹股沟嵌顿疝和/或绞窄疝具有显著疗效,适合临床推广.Objective To explore the clinical curative effect of preperitoneal tension-free hernioplasty for inguinal hernia in the treatment of patients with incarcerated hernia and（ or） strangulated hernia. Methods 76 patients with incarcerated hernia and（ or） strangulated hernia were selected as the research subjects,and they were divided into two groups according to the random number table,with 38 cases in each group. The observation group was treated with tension-free inguinal hernia repair, while the control group was given surgical treatment. The intraoperative blood loss,surgical time and hospital stay were recorded. The postoperative visual pain scores（ VAS） and the number of postoperative infection were statistically analyzed. Patients were followed up for 1 month after discharge, and the return to work time, the number of masses in surgical site and the recurrence cases were recorded. Results The intraoperative blood loss[（16. 23 ± 8. 64） mL vs. （28. 19 ± 7. 93） mL],operation time[（57. 13 ± 14. 58） min vs. （74.29±15.01）min],hospitalstay[（4.27±1.87）dvs.（7.09±1.43）d] andpostoperativeinfectionrate（2.6%vs. 28. 9%） in the observation group were shorter （less） than those in the control group,the differences were statisti-cally significant（t=6. 287,5. 055,7. 384,χ2 =9. 896,all P〈0. 05）. There was no significant difference in postoper-ative24hVASscorebetweenthetwogroups[（7.15±0.59）pointsvs.（7.24±0.49）points,t=0.723,P〉0.05], while the postoperative 48h score in the observation group was significantly lower than that in the control group [（4. 28 ± 1. 78）points vs. （6. 19 ± 0. 97）points,t=5. 808,P〈0. 05]. 1 month after discharge,the number of masses in surgical site（2 cases vs. 8 cases）,the recurrence cases（0 case vs. 4 cases） and the return to work time[（5. 34 ± 1. 36）d vs. （9. 27 ± 1. 54）d]of the observation group were less than those in the control group（χ2 =4. 146,4. 222, t=11. 791,all P〈0. 05）. Conclusion Preperiton

关 键 词：疝 腹股沟 外科手术 治疗结果 

分 类 号：R656.2[医药卫生—外科学]