开放式腹膜前间隙无张力疝修补术治疗非洲成人腹股沟疝60例的效果观察  

Efficacy of open preperitoneal tension-free hernioplasty in the treatment of adult inguinal hernia in Africa

作　　者：陈壮浩[1] 陈伟涛 李莎[2] 吕智贵 李博 张振山[1] 曾东兴[1] 张杰良[4] 郭峰满 李建明[1] CHEN Zhuang-hao;CHEN Wei-tao;LI Sha;LV Zhi-gui;LI Bo;ZHANG Zhen-shan;ZENG Dong-xing;ZHANG Jie-liang;GUO Feng-man;LI Jian-ming(Zhongshan Traditional Chinese Medicine Hospital,Zhongshan 528400,China;Boai Hospital of Zhongshan,Zhongshan 528400,China;Zhongshan Torch Development Zone People’s Hospital,Zhongshan 528400,China;Xiaolan People’s Hospital of Zhongshan,Zhongshan 528400,China)

机构地区：[1]广东中山市中医院,广东中山528400 [2]广东中山市博爱医院,广东中山528400 [3]广东中山火炬开发区医院,广东中山528400 [4]广东中山市小榄人民医院,广东中山528400

出　　处：《广东医科大学学报》2023年第6期676-679,共4页Journal of Guangdong Medical University

摘　　要：目的了解开放式腹膜前间隙疝修补术治疗非洲赤道几内亚成人腹股沟疝的效果。方法120例赤道几内亚巴塔总医院收治的腹股沟疝患者随机分为A、B组(每组60例),分别采用开放式腹膜前间隙腹股沟疝修补术、平片无张力疝修补治疗。观察及对比两组患者的手术时间、住院时间、术后恢复时间、住院费用和患者术后并发症的发生情况。结果两组患者的手术时间、住院时间、术后恢复时间和住院费用的差异均无统计学意义(均P>0.05)。A组阴囊水肿、慢性疼痛、皮下血清肿及术后异物感的发生率均低于B组(均P<0.01)。两组术后伤口感染、复发的差异均无统计学意义(均P>0.05)。结论开放式腹膜前间隙无张力疝修补术治疗非洲成人腹股沟疝并发症少、安全、有效,可成为基层医院的选择。Objective To explore the efficacy of open preperitoneal tension-free hernioplasty in the treatment of adult inguinal hernia in Equatorial Guinea of Africa.Methods A total of 120 patients with inguinal hernia admitted to the Bata General Hospital,Equatorial Guinea were randomly divided into Group A and B(60 cases in each group),who underwent open preperitoneal tension-free hernioplasty and Lichtenstein tension-free hernioplasty.The time of operation,hospital stay,postoperative recovery time,hospitalization cost,and postoperative complications were compared between the two groups.Results There were no statistical differences in the time of operation,hospital stay,postoperative recovery time,and hospital cost between the two groups(P>0.05 for all).The incidences of scrotal edema,chronic pain,subcutaneous seroma and postoperative sensation of foreign body in Group A were all lower than those in Group B(P<0.01 for all).There were no statistical differences in wound infection and relapse between the two groups(P>0.05 for all).Conclusion Open preperitoneal tension-free hernioplasty is characterized as few complications,safe,and effective in the treatment of adult inguinal hernia in Africa.It is a reliable choice for grassroots hospitals.

关 键 词：赤道几内亚 开放式腹膜前间隙 无张力疝修补术 

分 类 号：R656.21[医药卫生—外科学]