腹股沟疝应用充填式无张力疝修补术治疗的效果分析  

Clinical Analysis of Tension-Free Hernioplasty for Inguinal Hernia

作　　者：陈德芳 苏志明[2] CHEN Defang;SU Zhiming(Department of General Surgery,Nan'an Honglai Central Hospital,Nan'an 362300,China;Department of General Surgery,Second Affiliated Hospital of Fujian Medical University,Quanzhou 362000,China)

机构地区：[1]南安市洪濑中心卫生院普外科,南安362300 [2]福建医科大学附属第二医院普外科,泉州362000

出　　处：《中国医药指南》2024年第24期113-116,共4页Guide of China Medicine

摘　　要：目的探析充填式无张力疝修补术在腹股沟疝患者中的应用效果。方法回顾2015年1月至2016年4月来院治疗的腹股沟疝患者的临床资料,从应用Bassini加强腹股沟管后壁张力性疝修补术患者中随机抽取50例作为对照研究,命名为Bassini组;从2021年1月至2022年10月来院的腹股沟疝患者中随机抽取50例作为试验组,应用充填式无张力疝修补术治疗。对比两组围手术期情况、术后疼痛程度、手术前后血清炎性因子指标、生活质量(QOL)、术后不良反应及总体疗效。结果试验组手术相关指标均优于Bassini组(P<0.05);试验组患者术后24 h、36 h、72 h视觉模拟评分法(VAS)评分均低于Bassini组(P<0.05);试验组应激反应指标中肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)以及C反应蛋白(CRP)水平均低于Bassini组(P<0.05);试验组患者术后QOL的生理功能、心理功能、环境、社会功能指标评分均高于Bassini组(P<0.05);试验组患者不良反应发生率及复发率均低于Bassini组(P<0.05)。结论针对腹股沟疝患者,给予充填式无张力疝修补术治疗有利于减轻术后疼痛,降低术后并发症发生率,提升患者预后质量,缩短康复进程。Objective To explore the effect of filling tension-free hernia repair in the treatment of inguinal hernia.Methods The clinical data of inguinal hernia patients admitted to the hospital from January 2015 to April 2016 were reviewed,and Bassini was used to strengthen the posterior wall tension hernia repair of inguinal canal.Fifty cases were randomly selected as a control study,and named Bassini group.From January 2021 to October 2022,50 groin patients admitted to the hospital were randomly selected as the experimental group and treated with filling tensionfree hernia repair.The perioperative conditions,postoperative pain,serum inflammatory factors,quality of life(QOL),postoperative adverse reactions and overall therapeutic effect were compared between the two groups.Results The indexes related to surgery in experimental group were better than those in Bassini group(P<0.05).Visual analogue scale(VAS)scores of experimental group were lower than those of Bassini group at 24 h,36 h and 72 h after operation(P<0.05).The levels of tumor necrosis factor-α(TNF-α),interleukin-6(IL-6)and C-reactive protein(CRP)in experimental groups were lower than those in Bassini group(P<0.05).After operation,the QOL(physiological,psychological,environmental and social function)indexes of experimental group were higher than those of Bassini group(P<0.05).The total incidence and recurrence rate of adverse reactions in experimental group were lower than those in Bassini group(P<0.05).Conclusions For patients with inguinal hernia,tension-free filling hernia repair is beneficial to alleviate postoperative pain,reduce the incidence of postoperative complications,improve the quality of prognosis and shorten the rehabilitation process.

关 键 词：腹股沟疝 Bassini 充填式无张力疝修补术 治疗效果 

分 类 号：R656.21[医药卫生—外科学]