中药外敷防治腹腔镜腹股沟疝修补术后血清肿的临床观察  

Clinical effect observation of external application of traditional Chinese medicine in the prevention and the treatment of seroma after laparoscopic inguinal hernia repair

作　　者：张新明 卞吉雯 王鹏[2] 孙风波 Zhang Xinming;Bian Jiwen;Wang Peng;Sun Fengbo

机构地区：[1]青岛市海慈医疗集团/青岛市中医医院,山东青岛266033 [2]山东中医药大学,山东济南250355

出　　处：《中医临床研究》2021年第24期34-36,共3页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨外敷中药防治腹腔镜腹股沟疝修补术后血清肿的临床效果。方法:选择青岛市海慈医疗集团普外科2018年1月-2019年12月收治的腹腔镜腹股沟疝修补术男性患者169例,随机分成两组,加压包扎组86例,中药外敷组83例,择期行腹腔镜疝修补术。术后加压包扎组患者腹股沟区以腹带加压包扎;中药外敷组患者术侧腹股沟区敷芒硝和冰片中药包,外穿紧身泳裤。分别于术后第3天、第7天、第14天、第28天和术后3个月行彩超检查,评估腹股沟区及阴囊区血清肿的发生情况。结果:中药外敷组血清肿患者明显少于加压包扎组。手术后第3天,第7天、第14天加压包扎组和中药外敷组血清肿发生率分别为56.98%(49/86)和21.69%(18/83),29.07%(25/86)和6.02%(5/83);10.47%(9/86)和1.20%(1/83),差异均有统计学意义(P<0.05)。随着时间延长血清肿患者例数逐渐减少。术后第28天和术后3个月加压包扎组血清肿患者分别为4例(4.65%,4/86)和2例(2.33%,2/86)。术后第28天后中药外敷组无血清肿患者。结论:外敷中药芒硝和冰片能有效防治腹腔镜腹股沟疝术后局部血清肿。临床操作简易方便,适合推广应用。Objective:To explore the clinical effect of external application of Chinese medicine in the prevention and the treatment of seroma after laparoscopic inguinal hernia repair.Methods:A total of 169 male patients with laparoscopic inguinal hernia repair admitted to general surgery department of Qingdao Hiser Medical Center from January 2018 to December 2019 were selected.All the patients were randomly divided into two groups,with 86 cases in the pressure dressing group and 83 cases in the external application group of traditional Chinese medicine.All the patients were selected for laparoscopic hernia repair.Postoperative compression bandage was applied to the groin area of patients in the pressure bandage group.Patients in the external application group were treated with external application of traditional Chinese medicine(glauber's salt and borneol)in the groin area at the side of surgery,and wore tight swimming trunks.Color doppler ultrasonography was performed on the 3rd day,the 7th day,the 14th day,the 28th day and the third month after the operation to evaluate the occurrence of seroma in the groin area and scrotal area.Results:The number of patients with seroma in the external application of traditional Chinese medicine group was significantly lower than that in the pressure bandaging group.On the 3rd,7th and 14th day after surgery,the incidence of seroma was 56.98%(49/86),29.07%(25/86)and 10.47%(9/86)respectively in the pressure bandaging group.In the external application of traditional Chinese medicine group the incidence of seroma was 21.69%(18/83),6.02%(5/83)and 1.20%(1/83),respectively.The differences between the two groups were statistically significant(P<0.05).The number of seroma patients in the two groups decreased gradually with time.There were 4 cases(4.65%,4/86)and 2 cases(2.33%,2/86)in the pressure bandage group on the 28th day after surgery and 3 months after surgery,respectively.There was no seroma in the Chinese medicine external application group 28 days after surgery.Conclusion:Chinese medici

关 键 词：腹股沟疝 腹腔镜 疝修补术 血清肿 中药外敷 

分 类 号：R264[医药卫生—中医外科学]