不同腹股沟疝无张力修补方式在高龄患者中的效果与安全性比较  

Comparison the Efficacy and Safety of Different Tension-free Repair Methods for Inguinal Hernia in Elderly Patients

作　　者：严培虎 李伟 于富强 刘源 谢高山 张政 YAN Peihu;LI Wei;YU Fuqiang;LIU Yuan;XIE Gaoshan;ZHANG Zheng(Wuwei Liangzhou Hospital,Wuwei 733000,China;不详)

机构地区：[1]武威市凉州医院,甘肃武威733000

出　　处：《中外医学研究》2022年第21期6-9,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:比较三种不同的腹股沟疝无张力修补方式在高龄患者中的效果与安全性,为高龄腹股沟疝患者选择手术方式的提供参考。方法:选择武威市凉州医院2020年1月-2021年12月126例高龄腹股沟疝患者作为研究对象,采用数字表随机法分为三组,每组42例,分别采用无张力平片修复术式(Lichtenstein术)(A组)、Prolene疝修补装置修补术(PHS术)(B组)和疝环充填式修复术式(Rutkow术)(C组),比较各组临床效果及安全性;患者均随访至2022年4月,比较三组复发率。结果:A组、B组、C组平均手术时间、平均出血量、术后平均住院时间比较,差异无统计学意义(P>0.05)。A组、B组术后VAS评分小于C组,差异有统计学意义(P<0.05)。A组、B组术后VAS评分比较,差异无统计学意义(P>0.05)。A组并发症发生率为7.14%,B组为2.38%,C组为4.76%,差异无统计学意义(P>0.05)。A组术后复发率为11.90%,明显高于B组的0和C组的2.38%(P<0.05)。B组和C组复发率比较,差异无统计学意义(P>0.05)。结论:PHS术治疗高龄腹股沟疝效果和安全性优于Rutkow术和Lichtenstein术。Objective:To compare the efficacy and safety of three different tension-free repair methods for inguinal hernia in elderly patients,and to provide reference for selecting surgical methods for elderly patients with inguinal hernia.Method:A total of 126 elderly patients with inguinal hernia in Wuwei Liangzhou Hospital from January 2020 to December 2021 were selected as the research objects.They were divided into three groups with 42 patients in each group by digital table random method,and were respectively treated with tension-free flat disc repair(Lichtenstein surgery)(group A),Prolene hernia repair device repair(PHS surgery)(group B)and hernia ring filling repair(Rutkow surgery)(group C).The clinical effect and safety of each group were compared.All patients were followed up to April 2022,and the recurrence rate of the three groups was compared.Result:There were no significant differences in the average operation time,average blood loss and average postoperative hospital stay in group A,group B and group C(P>0.05).The postoperative VAS scores of group A and B were lower than those of group C,and the differences were statistically significant(P<0.05).There was no significant difference in postoperative VAS scores of group A and group B(P>0.05).The incidence of complications was 7.14%in group A,2.38%in group B and 4.76%in group C,with no statistical significance(P>0.05).The postoperative recurrence rate of group A was 11.90%,it was significantly higher than 0 in group B and 2.38%in group C(P<0.05).There was no significant difference in recurrence rate of group B and group C(P>0.05).Conclusion:Efficacy and safety of PHS surgery is better than Rutkow surgery and Lichtenstein surgery in the treatment of inguinal hernia in elderly patients.

关 键 词：无张力平片修复术式 Prolene疝修补装置 疝环充填式修复术 高龄患者 效果 

分 类 号：R656.21[医药卫生—外科学]