腹横纹小切口疝气手术对疝气患者的治疗效果观察  

Observation on the therapeutic effect of transverse abdominal small incision hernia surgery on hernia patients

作　　者：许浩漩 刘金渊 蓝南镇 XU Hao-xuan;LIU Jin-yuan;LAN Nan-zhen(Zhangpu County Traditional Chinese Medicine Hospital,Zhangzhou 363200,China)

机构地区：[1]漳浦县中医院,363200

出　　处：《中国现代药物应用》2024年第6期51-53,共3页Chinese Journal of Modern Drug Application

摘　　要：目的观察腹横纹小切口疝气手术对疝气患者的治疗效果。方法150例疝气患者,依据手术类型不同分为研究组与对照组,各75例。研究组以腹横纹小切口疝囊高位结扎+腹膜前修补术治疗,对照组以腹腔镜经腹膜前疝修补术治疗。比较两组围手术期指标、术后并发症发生情况及复发情况。结果研究组手术时间(45.09±7.52)min长于对照组的(33.95±4.82)min,住院时间(2.80±0.46)d短于对照组的(3.77±0.53)d,术中出血量(12.41±1.52)ml少于对照组的(15.18±2.29)ml,术后疼痛评分(1.44±0.36)分、住院费用(5914.01±242.35)元低于对照组的(2.04±0.60)分、(8135.15±273.99)元,患者与医生的切口满意度评分(98.28±0.27)、(97.22±0.63)分高于对照组的(94.36±3.06)、(91.82±1.11)分,差异均具有统计学意义(P<0.05)。研究组术后并发症率较对照组低,差异具有统计学意义(P<0.05)。随访20个月,两组复发率均为0。结论疝气患者的治疗中,以腹横纹小切口、腔镜疝气手术治疗均可获得理想效果且复发率均较低,腔镜疝气手术时间相对较短,修补范围更大,住院费用更高,临床术前应分析患者情况,选择合适的手术治疗方案。Objective To observe the therapeutic effect of transverse abdominal small incision hernia surgery on hernia patients.Methods A total of 150 hernia patients were divided into a study group and a control group according to different types of surgery,with 75 cases in each group.The study group was treated with abdominal transverse small incision hernia sac high ligation+preperitoneal repair,and the control group was treated with laparoscopic transperitoneal preperitoneal hernia repair.The perioperative related indicators,postoperative complications,and recurrence were compared between two groups.Results The study group had longer operation time of(45.09±7.52)min than(33.95±4.82)min in the control group,shorter hospitalization time of(2.80±0.46)d than(3.77±0.53)d in the control group,less intraoperative blood loss of(12.41±1.52)ml than(15.18±2.29)ml in the control group,lower postoperative pain score of(1.44±0.36)points than(2.04±0.60)points in the control group,and less hospitalization costs of(5914.01±242.35)yuan than(8135.15±273.99)yuan in the control group.In the study group,the incision satisfaction scores of patients and doctors and hospitalization costs were(98.28±0.27)and(97.22±0.63)points,which were higher than(94.36±3.06)and(91.82±1.11)points in the control group.The difference was statistically significant(P<0.05).The postoperative complication rate of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).After 20 months of follow-up,the recurrence rate was 0 in both groups.Conclusion In the treatment of hernia patients,ideal results can be achieved through transverse abdominal small incision and endoscopic hernia surgery with low recurrence rates.Endoscopic hernia surgery has a relatively short operation time,a larger range of repair,and higher hospitalization costs.Clinical operators should analyze the patient's condition before surgery and choose a suitable surgical treatment regimen.

关 键 词：腹横纹小切口 腔镜疝气手术 疝气 治疗效果 

分 类 号：R656.2[医药卫生—外科学]