腹膜前间隙无张力疝修补术治疗腹股沟疝的疗效分析  

Analysis of the efficacy of tension-free herniorrhaphy in the treatment of inguinal hernia

作　　者：罗文斌 黄晖 Luo Wenbin;Huang Hui(Department of General Surgery,Gao＇an Hospital of Traditional Chinese Medicine,Gaoan,Jiangxi,330800,China;Jiangxi Gao An maternal and child health care and family planning service center,Gaoan,Jiangxi,330800,China)

机构地区：[1]江西省高安市中医院普外科,江西高安330800 [2]江西省高安市妇幼保健计生服务中心,江西高安330800

出　　处：《当代医学》2018年第33期30-32,共3页Contemporary Medicine

摘　　要：目的分析对腹股沟疝患者行以腹膜前间隙无张力疝修补术治疗的临床效果。方法择取2015年1月～2017年1月本院收治的200例腹股沟疝患者,随机将所选患者分成对照组与研究组。对照组100例患者行以平片式无张力疝修补术,研究组100例患者行以腹膜前间隙无张力疝修复术治疗,对两组患者的手术时间、术中出血量、首次下床活动时间、术后住院时间、总住院时间、并发症发生概率、疾病复发概率进行分析和比较。结果研究组手术时间比对照组短,术中出血量比对照组少,首次下床活动时间比对照组早,术后住院时间以及总住院时间均比对照组短(P<0.05);研究组并发症发生概率为4.00%,对照组并发症发生概率为18.00%,研究组并发症发生概率明显低于对照组(P<0.05);研究组疾病复发概率为1.00%,对照组疾病复发概率为7.00%,研究组疾病复发概率明显低于对照组(P<0.05)。结论对腹股沟疝患者行以腹膜前间隙无张力疝修补术治疗不仅可以缩短手术时间,减少术中出血量,使患者提早下床活动,进而缩短住院时间,还可以降低并发症发生概率以及疾病复发概率,具有显著临床价值,值得推广。Objective To analyze the clinical effect of preperitoneal space tension-free hernia repair in patients with the inguinal hernia. Methods 200 patients with inguinal hernia admitted to our hospital from January 2015 to January 2017 were selected and randomly divided intocontrol group and study group. Control group, 100 cases of patients with flat plate without tension hernia repair, the team before the 100 cases of patients with peritoneal clearance without tension hernia repair surgery, in patients with two groups of operation time, intraoperative blood loss, for the first time of bed activity time, postoperative hospital stay, the total length of hospital stay, complication probability, disease recurrence risk is ana- lyzed and compared. Results The operation time of the study group was shorter than that of the control group, the intraoperative blood loss was less than that of the control group, the first time out of bed was earlier than that of the control group, and the postoperative hospitalization time and the total hospitalization time were shorter than that of the control group （P〈0.05）. The probability of complications in the study group was 4.00%, and that in the control group was 18.00%. The probability of complications in the study group was significantly lower than that in the control group （P 〈 0.05）. The probability of recurrence was 1.00% in the study group and 7.00% in the control group, and the probability of recurrence in the study group was significantly lower than that in the control group （P〈 0.05）. Conclusion The treatment with the preperitoneal space tension-free hernia repair for patients with inguinal hernia can not only shorten the operation time, reduce the amount of blood loss during the operation, enable the patients to get out of bed early and shorten the length of stay, but also reduce the probability of complications and the probability of disease recurrence, which has significant clinical value and is worthy of promotion.

关 键 词：腹膜前间隙无张力疝修补术 腹股沟疝 疗效 

分 类 号：R656.21[医药卫生—外科学]