腹股沟疝患者无张力疝修补术的疗效以及安全性评价  

Efficacy and Safety Evaluation of Tension-free Hernia Repair in Inguinal Herniapatients

作　　者：吴苏荣[1] 刘志春[1] 王旭强[1] WU Surong;LIU Zhichun;WANG Xuqiang(Department of General Surgery,First People's Hospital of Tianshui,Tianshui 741000,Gansu,China)

机构地区：[1]天水市第一人民医院普外科,甘肃天水741000

出　　处：《系统医学》2025年第5期138-141,共4页Systems Medicine

摘　　要：目的分析腹股沟疝患者无张力疝修补术的疗效以及安全性。方法非随机选取2020年1月—2023年1月天水市第一人民医院收治的80例腹股沟疝患者为研究对象,按治疗方法不同分为基础组、改进组,每组40例。基础组行常规疝修补术治疗,改进组采用无张力疝气修补术,比较两组临床疗效、手术指标、炎症因子[白介素6(interleukin 6,IL-6)、C反应蛋白(C-reactive protein,CRP)]、白细胞计数(white blood cell,WBC)及血清纤维蛋白原(fibrinogen,FIB)及并发症发生率。结果改进组手术指标均优于基础组,差异有统计学意义(P均<0.05)。改进组治疗总有效率为97.50%(39/40),高于基础组的80.00%(32/40),差异有统计学意义(χ^(2)=6.134,P<0.05)。改进组治疗后CRP、IL-6、WBC、FIB水平较基础组低,差异有统计学意义(P均<0.05)。改进组并发症发生率低于基础组,差异有统计学意义(P<0.05)。结论腹股沟疝患者经无张力疝修补术治疗,可降低术中出血量及手术时间,促进术后恢复,降低炎症程度,减少并发症发生率。Objective To analyze the efficacy and safety of tension-free hernia repair in adult patients with inguinal hernia.Methods Eighty cases of inguinal hernia patients in the the First People's Hospital of Tianshui from January 2020 to January 2023 were non-randomly selected as research object,and divided into basic group and improvement group with forty cases each according to the different treatment methods.The basic group was treated with conventional hernia repair,while the improvement group was treated with tension-free hernia repair.The clinical efficacy,surgical indexes,inflammatory factors[interleukin 6(IL-6),C-reactive protein(CRP)],white blood cell(WBC)and serum fibrinogen(FIB)and the incidence of complications were compared between the two groups.Results The surgical indexes of the improvement group were better than those of the basic group,the differences were statistically significant(all P<0.05).The total effective rate of the improvement group was 97.50%(39/40),higher than 80.00%(32/40)of the basic group,and the difference was statistically significant(χ^(2)=6.134,P<0.05).The levels of CRP,IL-6,WBC and FIB levels in the improvement group were lower than those in the basic group,the differences were statistically significant(all P<0.05).The incidence of complications in the improvement group was lower than that in the basic group,the difference was statistically significant(P<0.05).Conclusion Tension-free hernia repair for inguinal herniapatients can reduce intraoperative blood loss and operation time,promote postoperative recovery,reduce the risk of inflammation and complications.

关 键 词：腹股沟疝 无张力疝修补术 炎症反应 并发症 

分 类 号：R4[医药卫生—临床医学]