中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2014年
14期
2125-2127
,共3页
疝,腹股沟%疝修补术,无张力
疝,腹股溝%疝脩補術,無張力
산,복고구%산수보술,무장력
Hernia,inguinal%Herniorrhaphy,tension-free
目的：评价在基层医院应用疝环填充式无张力修补腹股沟疝的临床价值。方法回顾性分析32例腹股沟疝患者采用网塞补片进行无张力修补（ A组）及28例传统疝修补（ B组）的临床资料。结果 A组平均手术时间（56．94 min）、术后住院时间（5．25 d）均较B组（69．61 min、5．96 d）短，差异有统计学意义（t＝-2．891、-3．284，均P＜0．05）；A组术后需止痛治疗（10例）及尿潴留发生例数（2例）均少于B组（19例、8例）（χ2＝8．014、5．357，均P＜0．05）。两组术后发生阴囊血肿各3例，差异无统计学意义（P＞0.05）。全部病例均获随访，随访时间20～40个月，随访期间A组无复发，B组2例复发。结论疝环填充式无张力修补治疗腹股沟疝手术时间短，恢复快，并发症少，复发率低，适合在基层医院推广应用。
目的：評價在基層醫院應用疝環填充式無張力脩補腹股溝疝的臨床價值。方法迴顧性分析32例腹股溝疝患者採用網塞補片進行無張力脩補（ A組）及28例傳統疝脩補（ B組）的臨床資料。結果 A組平均手術時間（56．94 min）、術後住院時間（5．25 d）均較B組（69．61 min、5．96 d）短，差異有統計學意義（t＝-2．891、-3．284，均P＜0．05）；A組術後需止痛治療（10例）及尿潴留髮生例數（2例）均少于B組（19例、8例）（χ2＝8．014、5．357，均P＜0．05）。兩組術後髮生陰囊血腫各3例，差異無統計學意義（P＞0.05）。全部病例均穫隨訪，隨訪時間20～40箇月，隨訪期間A組無複髮，B組2例複髮。結論疝環填充式無張力脩補治療腹股溝疝手術時間短，恢複快，併髮癥少，複髮率低，適閤在基層醫院推廣應用。
목적：평개재기층의원응용산배전충식무장력수보복고구산적림상개치。방법회고성분석32례복고구산환자채용망새보편진행무장력수보（ A조）급28례전통산수보（ B조）적림상자료。결과 A조평균수술시간（56．94 min）、술후주원시간（5．25 d）균교B조（69．61 min、5．96 d）단，차이유통계학의의（t＝-2．891、-3．284，균P＜0．05）；A조술후수지통치료（10례）급뇨저류발생례수（2례）균소우B조（19례、8례）（χ2＝8．014、5．357，균P＜0．05）。량조술후발생음낭혈종각3례，차이무통계학의의（P＞0.05）。전부병례균획수방，수방시간20～40개월，수방기간A조무복발，B조2례복발。결론산배전충식무장력수보치료복고구산수술시간단，회복쾌，병발증소，복발솔저，괄합재기층의원추엄응용。
Objective To evaluate the clinical value of application of mesh plug tension-free repair of ingui-nal hernia in grass-roots hospital .Methods A total of 32 patients with inguinal hernia treated by benison-free ingui-nal herniorrhaphy with mesh plug and 28 patients treated with the traditional herniorrhaphy were retrospectively ana-lysed.Results The mean operation time and the postoperative hospital stay of group A were 56.94min and 5.25d, and those of group B were 69.61min and 5.96d,the mean operation time and the postoperative hospital stay of group A were significantly shorter than those of group B (t=-2.891、-3.284,all P<0.05).Patients needed postoperative analgesic therapy (10 cases) and patients suffered from urine retation ( 2 cases ) of group A were less than group B(χ2 =8.014,5.357,all P<0.05).There were 3 cases with postoperative scrotum hematoma in each group and they had no statistical difference for that(P>0.05).All cases received follow-up for 20-40 months,there were no recur-rence in group A during the follow-up period,but 2 cases recurrence in group B .Conclusion Mesh plug tension-free repair of inguinal hernia has the advantages of shorter operation time ,more rapid recovery ,less complications and low-er recurrence rate ,so it is suitable for popularization and application in grass-roots hospital .
