负压引流预防腹腔镜下腹股沟疝无张力修补术后血清肿的效果  

Effect of negative pressure drainage on prevention of seroma after laparoscopic tension-free repair of inguinal hernia

作　　者：陈德虎 刘贵远[1] 尤小兰[1] 曹赣[1] CHEN De-hu;LIU Gui-yuan;YOU Xiao-lan;CAO Gan(Taizhou People's Hospital,Taizhou 225300,China)

机构地区：[1]泰州市人民医院

出　　处：《临床医学研究与实践》2019年第34期89-90,共2页Clinical Research and Practice

摘　　要：目的探讨负压引流预防腹腔镜下腹股沟疝无张力修补术后血清肿的效果。方法选择我院2016年2月至2019年9月收治的70例腹股沟疝患者,依据是否对患者给予负压引流干预分为参照组(n=35,未给予负压引流干预)和试验组(n=35,给予负压引流干预)。观察两组术后血清肿发生率、生活质量评分、手术时间以及术后住院时间。结果试验组经负压引流后,在术后1个月未表现出血清肿。参照组术后1个月时出现5例血清肿,其中3例属于Ⅱ型,就其临床表现进行分析,在手术后1~2周,患者呈现出患侧腹股沟区轻微肿胀症状,未采取特殊方法给予治疗,最终转为正常;1例属于Ⅲ型,在完成手术后1周,患侧表现出局部肿胀及轻微隆起症状,并合并术区酸胀不适感,临床采取对应方法进行干预后,症状逐渐转为正常;1例属于Ⅳ型,在术后1周表现出疾病症状,临床对其实施局部抽液以及加压治疗,最终症状获得改善。试验组术后血清肿发生率低于参照组,差异具有统计学意义(P<0.05)。试验组患者生活质量评分明显高于参照组(P<0.05)。结论给予腹腔镜下腹股沟疝无张力修补术患者负压引流干预,可以显著降低术后血清肿发生率,促进疾病转归,提升生活质量评分。Objective To investigate the effect of negative pressure drainage on prevention of seroma after laparoscopic tension-free repair of inguinal hernia. Methods Seventy patients with inguinal hernia admitted in our hospital from February 2016 to September 2019 were selected and divided into reference group(n =35, no negative pressure drainage intervention) and experimental group(n=35, negative pressure drainage intervention) according to whether the patients were given negative pressure drainage intervention. The incidence of postoperative seroma, quality of life score, operation time and hospital stay of both groups were observed. Results After negative pressure drainage, there was no seroma in the experimental group at 1 month after operation. In the reference group, 5 cases of seroma appeared at 1 month after operation, 3 cases belonged to type Ⅱ, and through analyzing the clinical manifestations, it found that the patients showed slight swelling in the affected side of the groin area at 1-2 weeks after operation, and finally turned to normal without special treatment;one case belonged to type Ⅲ, and the affected side showed local swelling, slight swelling symptoms and the discomfort of acid swelling in the operation area at one week after the operation, then the symptoms gradually turned to normal after the clinical intervention with corresponding methods;one case belonged to type Ⅳ, and the patients presented symptoms at one week after operation, then the symptoms improved finally through local drainage and pressure therapy in clinic. The incidence of seroma in the experimental group was lower than that in the reference group, and the difference was statistically significant(P<0.05). The quality of life score of the experimental group was significantly higher than that of the reference group(P <0.05). Conclusion The intervention of negative pressure drainage in laparoscopic tension-free repair of inguinal hernia can significantly reduce the incidence of postoperative seroma, promote the outcome of disease

关 键 词：负压引流 腹腔镜下腹股沟疝无张力修补术 血清肿 

分 类 号：R656.21[医药卫生—外科学]