中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
13期
40-41
,共2页
无张力疝修补术%腹股沟疝%临床分析
無張力疝脩補術%腹股溝疝%臨床分析
무장력산수보술%복고구산%림상분석
Tension-free hernioplasty%Ventral hernia%The clinical analysis
目的:探讨无张力疝修补术治疗腹股沟疝的临床疗效与价值。方法:2011年10月-2013年10月收治腹股沟疝患者72例,随机分为对照组和观察组各36例。对照组采用传统疝修补术,观察组采用无张力疝修补术,对比两组患者腹股沟疝治疗效果,并对无张力疝修补术治疗腹股沟疝的临床疗效进行综合评价。结果:对照组治疗显效12例,有效8例,无效16例,总有效率55.5%,观察组治疗显效20例,有效10例,无效6例,总有效率83.3%,观察组治疗有效率明显优于对照组,差异具有统计学意义(P<0.05);经过治疗后,对照组20例患者伴有明显的疼痛,而观察组患者仅1例伴有疼痛症状,经过适当的止痛处理和物理治疗,疼痛症状均得到改善,两组疼痛并发症控制效果差异显著,具有统计学意义(P<0.05)。结论:采用无张力疝修补术治疗腹股沟疝,并发症、复发率低,有利于患者预后的改善,值得临床推广与应用。
目的:探討無張力疝脩補術治療腹股溝疝的臨床療效與價值。方法:2011年10月-2013年10月收治腹股溝疝患者72例,隨機分為對照組和觀察組各36例。對照組採用傳統疝脩補術,觀察組採用無張力疝脩補術,對比兩組患者腹股溝疝治療效果,併對無張力疝脩補術治療腹股溝疝的臨床療效進行綜閤評價。結果:對照組治療顯效12例,有效8例,無效16例,總有效率55.5%,觀察組治療顯效20例,有效10例,無效6例,總有效率83.3%,觀察組治療有效率明顯優于對照組,差異具有統計學意義(P<0.05);經過治療後,對照組20例患者伴有明顯的疼痛,而觀察組患者僅1例伴有疼痛癥狀,經過適噹的止痛處理和物理治療,疼痛癥狀均得到改善,兩組疼痛併髮癥控製效果差異顯著,具有統計學意義(P<0.05)。結論:採用無張力疝脩補術治療腹股溝疝,併髮癥、複髮率低,有利于患者預後的改善,值得臨床推廣與應用。
목적:탐토무장력산수보술치료복고구산적림상료효여개치。방법:2011년10월-2013년10월수치복고구산환자72례,수궤분위대조조화관찰조각36례。대조조채용전통산수보술,관찰조채용무장력산수보술,대비량조환자복고구산치료효과,병대무장력산수보술치료복고구산적림상료효진행종합평개。결과:대조조치료현효12례,유효8례,무효16례,총유효솔55.5%,관찰조치료현효20례,유효10례,무효6례,총유효솔83.3%,관찰조치료유효솔명현우우대조조,차이구유통계학의의(P<0.05);경과치료후,대조조20례환자반유명현적동통,이관찰조환자부1례반유동통증상,경과괄당적지통처리화물리치료,동통증상균득도개선,량조동통병발증공제효과차이현저,구유통계학의의(P<0.05)。결론:채용무장력산수보술치료복고구산,병발증、복발솔저,유리우환자예후적개선,치득림상추엄여응용。
Objective:To investigate the clinical effect and value of tension-free herniorrhaphy in the treatment of ventral hernia. Methods:We selected 72 cases of ventral hernia patients during October 2011 to October 2013.These patients were randomly divided into control group and observation group with 36 cases in each.The control group used the traditional hernia repair,while the observation group was treated with tension-free hernia repair.The results of two groups were compared and to evaluate the clinical effect of tension-free hernioplasty for ventral hernia.Results:In the control group,12 cases were markedly effective,8 cases were effective,16 cases were invalid the total efficiency was 55.5%.In the observation group,20 cases were markedly effective,10 cases were effective,6 cases were invalid,the total efficiency was 83.3%.The effective rate of treatment group was superior to the control group,the difference was statistically significant(P<0.05);After treatment,in the control group,20 patients had obvious pain,in the observation group,1 patients had pain symptoms.After the pain treatment and appropriate physical therapy,pain symptoms were improved.Differences in pain control effect of the two groups was remarkable,with statistical significance(P<0.05). Conclusion:Application of tension-free hernioplasty in treating abdominal inguinal hernia is conducive to the promotion of prognosis,and the complications and recurrence rate is low,it is worth the clinical promotion and application.