河北中医
河北中醫
하북중의
HEBEI JORNAL OF TRADITIONAL CHINESE MEDICINE
2014年
7期
1113-1114,1115
,共3页
疝,腹股沟%老年人%修复外科手术
疝,腹股溝%老年人%脩複外科手術
산,복고구%노년인%수복외과수술
Inguinal hernia%Reconstructive surgical Procedures%Elderly
目的：对比老年腹股沟疝无张力疝修补术与传统疝修补术的临床疗效。方法将93例老年腹股沟疝患者根据数字随机法分为2组，传统组46例，采用腹股沟管后壁修补术；无张力组47例，采用Lichtenstein或Millikan术。观察2组围手术期相关指标，包括术中出血量、手术时间、下床活动时间、住院时间及术后止痛剂使用率、阴囊水肿及血肿、尿潴留，追踪随访2年内复发率。结果无张力组术中出血量少于传统组（P＜0．05），手术时间、下床活动时间及住院时间短于对照组（P＜0．05）；术后止痛剂使用率、尿潴留、阴囊水肿及血肿发生率，2年内复发率低于对照组（ P＜0．05）。结论无张力疝修补术优于传统疝修补术，可作为老年人腹股沟疝首选术式。
目的：對比老年腹股溝疝無張力疝脩補術與傳統疝脩補術的臨床療效。方法將93例老年腹股溝疝患者根據數字隨機法分為2組，傳統組46例，採用腹股溝管後壁脩補術；無張力組47例，採用Lichtenstein或Millikan術。觀察2組圍手術期相關指標，包括術中齣血量、手術時間、下床活動時間、住院時間及術後止痛劑使用率、陰囊水腫及血腫、尿潴留，追蹤隨訪2年內複髮率。結果無張力組術中齣血量少于傳統組（P＜0．05），手術時間、下床活動時間及住院時間短于對照組（P＜0．05）；術後止痛劑使用率、尿潴留、陰囊水腫及血腫髮生率，2年內複髮率低于對照組（ P＜0．05）。結論無張力疝脩補術優于傳統疝脩補術，可作為老年人腹股溝疝首選術式。
목적：대비노년복고구산무장력산수보술여전통산수보술적림상료효。방법장93례노년복고구산환자근거수자수궤법분위2조，전통조46례，채용복고구관후벽수보술；무장력조47례，채용Lichtenstein혹Millikan술。관찰2조위수술기상관지표，포괄술중출혈량、수술시간、하상활동시간、주원시간급술후지통제사용솔、음낭수종급혈종、뇨저류，추종수방2년내복발솔。결과무장력조술중출혈량소우전통조（P＜0．05），수술시간、하상활동시간급주원시간단우대조조（P＜0．05）；술후지통제사용솔、뇨저류、음낭수종급혈종발생솔，2년내복발솔저우대조조（ P＜0．05）。결론무장력산수보술우우전통산수보술，가작위노년인복고구산수선술식。
Objective To compare the clinical effect of hernia tension -free hernioplasty and traditional hernioplasty in treatment of inguinal in elderly patients .Methods 93 elderly inguinal patients were randomly assignedinto two groups with the treatment of hernia tension -free hernioplasty and traditional hernioplasty respectivelyfrom May 2008 to May 2012 in our hospital.The average bleeding volume during operation and the average time ofoperation, activating on and out of bed and hospital in two groups were compared between .Postoperative analgesicuse rate, complications and recurrence rate follow -up after 2 -years were recorded.Results The average bleedingvolume during operation and the average time of operation , activating on and out of bed and hospital in traditional her -nioplasty group were (55.70 ±11.7)ml, (77.0 ±16.2)min, (15.1 ±3.3)h and (15.6 ±2.9)d respectively.That of hernia tension -free hernioplasty group were (42.8 ±12.0)ml, (57.9 ±7.7)min, (13.6 ±2.6)h and(13.0 ±2.7)d.There were differences between the two groups ( P <0.05).So were the rate of postoperative analgesicusing and edema and hematoma of scrotum ( P <0.05 ).It was not significant about urinary retention ( P =0.096,P >0.05).The recurrence rates follow -up after 2 -years in two groups were significant( P <0.05).Conclusion s Tension -free hernioplasty is superior to the traditional hernioplasty and can be used as the first choice oftreatment of inguinal hernia in the elderly .
