疝环充填式无张力修补术治疗腹股沟疝疗效观察及其对预后的影响  

Effect of hernia ring filling tension -free repair in the treatment of inguinal hernia and its influence on prognosis

作　　者：郭俊吉 Guo Junji(Department qf Surgery, the Second Peoples Hospital of Yaodou District, Linfen , Shanxi 041000, China)

机构地区：[1]临汾市尧都区第二人民医院外科,山西省041000

出　　处：《中国基层医药》2019年第6期722-724,共3页Chinese Journal of Primary Medicine and Pharmacy

基　　金：山西省卫生和计划生育委员会科研课题(201602055).

摘　　要：目的观察疝环充填式无张力修补术治疗腹股沟疝患者的临床疗效及其对预后的影响.方法选择临汾市尧都区第二人民医院2015年9月至2016年9月收治的腹股沟疝患者96例为研究对象,采用随机双盲法分为对照组(n=48)和观察组(n=48),对照组采用常规疝修补术治疗,观察组采用疝环充填式无张力修补术治疗.比较两组临床疗效、并发症发生率和复发率.结果观察组术后下床时间、平均住院时间分别为(10.38±2.35)h、(6.14±1.96)d,均短于对照组的(21.21±4.46)h、(7.95±2.30)d,组间均差异有统计学意义(t=14.88、4.15,均P<0.05).观察组并发症发生率、术后复发率分别为6.25%、2.08%,均显著低于对照组的27.08%、14.58%,组间均差异有统计学意义(χ^2=7.50、4.91,均P<0.05).结论疝环充填式无张力修补术治疗腹股沟疝可以有效缩短术后恢复时间,减轻患者疼痛,并发症发生率、术后复发率低,效果优于常规疝修补术.Objective To explore the clinical efficacy of hernia ring filling tension - free repair in the treatment of inguinal hernia and its influence on prognosis. Methods From September 2015 to September 2016,96 cases of inguinal hernia admitted to the Second People's Hospital of Yaodou District were selected and divided into control group(n =48) and observation group(n = 48) according to randomized double - blind method. The control group was treated with routine hernia repair,and the observation group was given hernia ring filling tension - free repair. The clinical efficacy,complication rate and recurrence rate were compared between the two groups. Results The postoperative bed- out time and average length of hospital stay in the observation group were (10. 38 ± 2. 35)h and (6. 14 ± 1. 96)d, respectively,which were shorter than those in the control group[(21. 21 ± 4. 46)h and (7. 95 ± 2. 30)d],and there were statistically significant differences between the two groups(t = 14. 88,4. 15,all P < 0. 05). The incidence rate of complications and postoperative recurrence rate in the observation group were 6. 25% and 2. 08%,respectively,which were significantly lower than those in the control group(27. 08% and 14. 58%),and the differences between the two groups were statistically significant(χ^2 = 7. 50,4. 91,all P < 0. 05). Conclusion Inguinal hernia patients with tension - free repair hernia ring can effectively reduce postoperative recovery time,reduce pain,with low incidence rate of complications and high safety,and patients with low recurrence rate,the effect is better than routine hernia repair.

关 键 词：疝 腹股沟 疝修补术 肌张力 假体和植入物 预后 

分 类 号：R656.21[医药卫生—外科学]