肠破裂修补术同时行疝修补术与择期行疝修补术治疗腹股沟疝合并肠破裂的临床效果、安全性比较  

Comparison of Clinical Efficacy and Safety of Simultaneous Hernia Repair and Selective Hernia Repair for Intestinal Rupture Repair in the Treatment of Inguinal Hernia Combined with Intestinal Rupture

作　　者：林庚[1] 黄拔炎 高晖 LIN Geng;HUANG Bayan;GAO Hui(Fujian Provincial Hospital South Branch,Fuzhou 350028,China;不详)

机构地区：[1]福建省立医院南院,福建福州350028

出　　处：《中外医学研究》2024年第19期123-126,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:比较肠破裂修补术同时行疝修补术与择期行疝修补术治疗腹股沟疝合并肠破裂的临床效果及安全性。方法:选择2019年1月—2022年1月在福建省立医院南院普外科住院的120例腹股沟疝合并肠破裂患者作为研究对象,以随机法将其分为两组,各60例。择期组于肠破裂修补术后3个月择期行疝修补术治疗,同期组在肠破裂修补术同时行疝修补术治疗。比较两组手术指标、血清炎症因子、并发症总发生率。结果:同期组手术时间、首次下床时间、住院时间均短于择期组,术中失血量少于择期组,差异有统计学意义(P<0.05)。术前,两组血清炎症因子比较,差异无统计学意义(P>0.05);术后5 d,两组血清超敏C反应蛋白(hs-CRP)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平均低于术前,且同期组低于择期组,差异有统计学意义(P<0.05)。同期组并发症总发生率为3.33%,低于择期组的15.00%,差异有统计学意义(P<0.05)。结论:肠破裂修补术同时行疝修补术可有效减轻腹股沟疝合并肠破裂患者机体炎症反应,降低并发症发生率,且具有耗时短、出血少、术后恢复快优点。Objective:To compare the clinical effect and safety of simultaneous hernia repair and selective hernia repair for intestinal rupture repair in the treatment of inguinal hernia combined with intestinal rupture.Method:A total of 120 patients with inguinal hernia combined with intestinal rupture admitted to the Department of General Surgery of the Fujian Province Hospital South Branch from January 2019 to January 2022 were randomly divided into two groups,with 60 cases in each group.The selective group received hernia repair at 3 months after the intestinal rupture repair,and the same period group received hernia repair at the same time.Surgical indexes,serum inflammatory factors,total complication rate were compared between the two groups.Result:The operation time,first time of getting out of bed and hospital stay in the same period group were shorter than those in the selective group,and the intraoperative blood loss was lower than that in the selective group,the differences were statistically significant(P<0.05).Before operation,there was no significant difference in serum inflammatory factors between the two groups(P>0.05).At 5 d after surgery,the levels of serum hypersensitive C-reactive protein(hs-CRP),interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)in two groups were lower than those before surgery,and those in the same period group were lower than those in the selective group,the differences were statistically significant(P<0.05).The total incidence of complications in the same period group was 3.33%,which was lower than 15.00%in the selective group,and the difference was statistically significant(P<0.05).Conclusion:Simultaneous hernia repair for intestinal rupture repair can effectively reduce the inflammatory response of patients with inguinal hernia combined with intestinal rupture,reduce the incidence of complications,and has the advantages of short time,less bleeding and quick postoperative recovery.

关 键 词：肠破裂 疝修补术 腹股沟疝 肠破裂 治疗效果 

分 类 号：R656.21[医药卫生—外科学]