杂交技术治疗难复性腹股沟单侧疝的效果分析  

Effect analysis of hybridization technique in the treatment of irreducible unilateral inguinal hernia

作　　者：朱征全 庞志红[1] ZHU Zhengquan;PANG Zhihong(Dept.of Hepatobiliary Pancreatic Splenic Surgery,the First People′s Hospital of Nanyang,Nanyang 473000,China)

机构地区：[1]南阳市第一人民医院肝胆胰脾外科,河南南阳473000

出　　处：《华夏医学》2023年第1期80-83,共4页Acta Medicinae Sinica

摘　　要：目的:探讨杂交技术治疗难复性腹股沟单侧疝的临床效果。方法:将64例难复性腹股沟单侧疝患者随机分为对照组和研究组,每组32例。对照组采用腹腔镜技术治疗,研究组采用杂交技术治疗,术后均随访1年。比较两组手术时间,术中出血量,气腹持续时间,下床活动时间和住院时间;两组术后疼痛评分,围手术期并发症,随访期间的复发与感染。结果:研究组术中出血量多于对照组,手术时间、气腹持续时间、下床活动时间和住院时间均短于对照组,差异有统计学意义(P<0.05);研究组VAS评分低于对照组,研究组围手术期并发症总发生率9.38%,低于对照组31.25%(P<0.05);两组随访1年均没有发生复发与感染情况。结论:杂交技术治疗难复性腹股沟单侧疝能有效减轻术后疼痛,术后恢复快。Objective:To investigate the clinical effect of hybridization technique on irreducible unilateral inguinal hernia.Methods:64 patients with irreducible unilateral inguinal hernia were selected and randomized into the control group and study group,with 32 patients in each group.Laparoscopic technique was used for patients in the control group,while hybridization technique was applied to patients of the study group.Patients in both groups were followed up for one year.The operation time,intraoperative blood loss,duration of pneumoperitoneum,postoperative activity time and hospital stay,postoperative pain scores,perioperative complications,the recurrence and infection of patients during follow-up were compared between both groups.Results:Intraoperative blood loss of the study group was higher than that of the control group;the operation time,duration of pneumoperitoneum,postoperative activity time and the hospital stay was shorter than that of the control group,with a statistically significant difference(P<0.05);VAS score was lower than that of the control group,perioperative complications rate was 9.38%,lower than 31.25%in the control group(P<0.05);there was no recurrence and infection rate during one-year follow-up.Conclusion:Hybridization technique in the treatment of irreducible unilateral inguinal herinia can effectively reduce postoperative pain,with the advantage of quick postoperative recovery.

关 键 词：杂交技术 难复性腹股沟单侧疝 疼痛 复发 

分 类 号：R656.2[医药卫生—外科学]