经腹股沟切口路径放置补片疝修补术在急诊股疝治疗中的应用效果  

Application effect of mesh placement hernia repair through inguinal incision path in the treatment of emergency femoral hernia

作　　者：蔡红梅 孔雅君 CAI Hongmei;KONG Yajun(the Hospital of Fengxiang County,Baoji 721400,China)

机构地区：[1]凤翔县医院,陕西宝鸡721400

出　　处：《临床医学研究与实践》2020年第25期80-82,共3页Clinical Research and Practice

摘　　要：目的分析经腹股沟切口路径放置补片疝修补术在急诊股疝治疗中的应用效果。方法选择2018年11月至2019年10月在我院接受治疗的86例急诊股疝患者作为研究对象,采用奇偶分组法将患者分为对照组和观察组,各43例。对照组患者接受McVay组织修补术治疗,观察组患者接受经腹股沟切口路径放置补片疝修补术治疗。比较两组患者的疼痛持续时间、疼痛情况、手术相关指标、术后并发症发生情况、生活质量、焦虑、抑郁评分。结果观察组患者的疼痛持续时间、手术时间、术后引流管拔除时间、住院时间均短于对照组,VAS评分及术后并发症总发生率低于对照组(P<0.05)。观察组患者的躯体健康、社会功能、物质生活、心理健康评分均明显高于对照组(P<0.05)。术后,两组患者的SAS、SDS评分均降低,且观察组低于对照组,差异显著(P<0.05)。结论经腹股沟切口路径放置补片疝修补术治疗急诊股疝患者,能使患者的病情快速康复,提高治疗效果和生活质量,且治疗后的并发症较少,值得临床推广应用。Objective To analyze the application effect of mesh placement hernia repair through inguinal incision path in the treatment of emergency femoral hernia.Methods A total of 86 patients with emergency femoral hernia who received treatment in our hospital from November 2018 to October 2019 were selected as the study objests.All patients were divided into control group and observation group by odd-even grouping method,with 43 cases in each group.Patients in the control group received McVay tissue repair treatment,while patients in the observation group received mesh placement hernia repair through inguinal incision path treatment.The pain duration,pain degree,surgically related indexes,postoperative complications,the scores of quality of life,anxiety and depression were compared between the two groups.Results The pain duration,operation time,postoperative drainage tube removal time and hospital stay time in the observation group were shorter than those in the control group,the pain score and total incidence of postoperative complications were lower than those in the control group(P<0.05).The scores of physical health,social function,physical life and mental health in the observation group were significantly higher than those in the control group(P<0.05).After surgery,the scores of SAS,SDS in both groups decreased,and those in observation group were lower than the control group(P<0.05).Conclusion The mesh placement hernia repair through inguinal incision path in the treatment of emergency femoral hernia patients can make the patients'condition recover quickly,improve the treatment effect and quality of life,and has less postoperative complications,which is worthy of clinical promotion and application.

关 键 词：股疝 经腹股沟切口路径放置补片疝修补术 生活质量 McVay组织修补术 焦虑 

分 类 号：R656.2[医药卫生—外科学]