开放腹股沟斜疝修补手术中疝囊缝扎作用的前瞻性双盲随机对照研究  

Effect of hernia sac ligation in open inguinal hernia repair:A prospective double-blind randomized controlled trail

作　　者：陶凯[1] 张莹 李永秀[1] 王欣 魏亮 Tao Kai;Zhang Ying;Li Yongxiu;Wang Xin;Wei Liang(Department of General Surgery,Meihekou Central Hospital,Meihekou 135014,China)

机构地区：[1]梅河口市中心医院普外科,吉林省135014

出　　处：《中华疝和腹壁外科杂志（电子版）》2020年第4期370-373,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨疝囊结扎在开放腹股沟疝修补术中的作用。方法收集2016年1月至2017年12月,梅河口市中心医院240例开放腹股沟疝修补患者的临床资料。按照随机数字表法把所有患者分为试验组和对照组。试验组120例,手术中不结扎疝囊;对照组120例,术中高位结扎疝囊。观察并记录2组患者的一般资料、手术时间、术中出血量、术后住院时间、复工时间、住院花费以及并发症情况。结果 237例患者完成手术和术后随访,随访率98.75%。2组患者的一般资料、手术时间、术中出血量、术后住院时间、复工时间、住院花费差异均无统计学意义(P>0.05);2组患者并发症方面复发率、慢性疼痛、血清肿、血肿和排尿困难发生率差异无统计学意义(P>0.05);2组患者的异物感发生率分别为2.52%和6.78%,差异有统计学意义(P<0.05)。结论开放腹股沟疝手术中结扎疝囊并不会减少复发率,但有可能增加异物感的发生率。Objective To investigate the effect of hernia sac ligation in open inguinal hernia repair.Methods A total of 240 cases underwent open inguinal hernia repair from January 2016 to December 2017 were included into our study.All patients were divided into two groups,including none-ligation group(observation group,n=120)and ligation group(control group,n=120).The clinical data,operation time,intraoperative bleeding,postoperative hospital stay,time return to work,cost and complications were analyzed.Results A total of 237 cases finished procedure of follow-up with a follow-up rate of 98.75%.No statistical difference were observed of clinical data,operation time,intraoperative bleeding,postoperative hospital stay,time return to work and cost between two groups(P>0.05).The differences of incidence of recurrence,chronic pain,seroma,hematoma and dysuria were not statistically(P>0.05).The difference of foreign body sensation rate was statistically significant(2.52%vs 6.78%).Conclusion It is not useful of hernia sac ligation to prevent recurrence in open inguinal hernia repair,besides it may increase incidence of foreign body sensation.

关 键 词：腹股沟 疝 复发 慢性疼痛 异物感 

分 类 号：R656.21[医药卫生—外科学]