在老年腹股沟疝的临床治疗中应用腹腔镜腹股沟疝修补术的效果研究  

Study on the Effect of Laparoscopic Inguinal Hernioplasty in the Clinical Treatment of Elderly Inguinal Hernia

作　　者：韩东 HAN Dong(Department of General Surgery,Laiwu People's Hospital of Jinan City,Jinan,Shandong Province,271100 China)

机构地区：[1]济南市莱芜人民医院普外科,山东济南271100

出　　处：《中外医疗》2020年第4期41-43,共3页China & Foreign Medical Treatment

摘　　要：目的对腹腔镜腹股沟疝修补术在老年腹股沟疝治疗中的应用效果进行分析和研究。方法方便选择该院在2017年10月-2018年10月期间收治的70例老年腹股沟疝作为该次研究纳入的对象,按照患者的病历单双号将其随机划分为两组,对照组35例,观察组35例。采用开放式无张力疝修补术针对对照组予以治疗,采用腹腔镜腹股沟疝修补术针对观察组予以治疗,对两组患者的治疗效果予以分析和比较。结果对照组的总有效率为71.4%,观察组的总有效率为94.2%,观察组的总有效率明显优于对照组,两组患者相比差异有统计学意义(χ^2=10.051,P<0.05)。对照组的手术完成时间为(62.37±2.09)min。肛门排气时间为(31.07±2.18)h,住院时间为(7.03±1.05)d,观察组的手术完成时间为(41.54±1.81)min。肛门排气时间为(22.85±1.94)h,住院时间为(4.26±0.51)d。观察组的手术完成时间、肛门排气时间和住院时间等指标均明显优于对照组,两组患者相比差异有统计学意义(t=23.583、19.715、15.448,P<0.05)。对照组的并发症发生率为17.1%,观察组的并发症发生率为2.8%,观察组的并发症发生率明显低于对照组,两组患者相比差异有统计学意义(χ^2=13.276,P<0.05)。结论针对老年腹股沟疝患者实施腹腔镜腹股沟疝修补术治疗具有确切的效果,能够减少手术时间,降低患者的并发症发生率,还可以有效加快患者的术后康复。Objective To analyze and study the effect of laparoscopic inguinal hernia repair in the treatment of elderly inguinal hernia.Methods Convenient selection of seventy elderly patients with inguinal hernia admitted to our hospital from October 2017 to October 2018 were enrolled as subjects in this study.They were randomly divided into two groups according to the patient’s medical record,and 35 patients in the control group.35 patients in the observation group.Opentype tension-free hernia repair was used to treat the control group.Laparoscopic inguinal hernia repair was used to treat the observation group.The therapeutic effects of the two groups were analyzed and compared.Results The total effective rate of the control group was71.4%,and the total effective rate of the observation group was 94.2%.The total effective rate of the observation group was significantly better than that of the control group.The difference between the two groups was significant(χ^2=10.051,P<0.05).The operation completion time of the control group was(62.37±2.09)min.The anus exhaust time was(31.07±2.18)h,the hospitalization time was(7.03±1.05)d,and the operation completion time of the observation group was(41.54±1.81)min.The anus exhaust time was(22.85±1.94)h,and the hospital stay was(4.26±0.51)d.The operation time,anal exhaust time and hospitalization time of the observation group were significantly better than the control group,and the difference between the two groups was statistically significant(t=23.583,19.715,15.448,P<0.05).The complication rate was 17.1%in the control group and 2.8%in the observation group.The complication rate in the observation group was significantly lower than that in the control group.The difference between the two groups was statistically significant(χ^2=13.276,P<0.05).Conclusion The treatment of laparoscopic inguinal hernia in elderly patients with inguinal hernia has a definite effect,which can reduce the operation time,reduce the incidence of complications,and can effectively accelerate the postope

关 键 词：老年腹股沟疝 腹腔镜腹股沟疝修补术 开放式无张力疝修补术 疗效 手术时间 并发症发生率 

分 类 号：R656.21[医药卫生—外科学]