中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2015年
3期
35-36
,共2页
腹股沟疝无张力修补术%轻量型补片%临床疗效
腹股溝疝無張力脩補術%輕量型補片%臨床療效
복고구산무장력수보술%경량형보편%림상료효
Tension-free inguinal hernia repair%Light weight patch%Clinical efficacy
目的 探讨轻量型补片在腹股沟疝无张力修补术中应用的疗效.方法 选取鹤壁煤业集团公司总医院普外科2013年1月至2014年1月收治的腹股沟疝无张力修补术患者100例,随机分为对照组和观察组,每组50例.对照组采用普通聚丙烯材料修补,观察组采用轻量型补片修补,对两组效果进行比较.结果 两组手术均成功完成,观察组手术时间平均为(51.2 ±4.5)min,对照组为(44.2±4.9) min,差异未见统计学意义(P＞0.05).观察组平均住院(7.2±0.4)d,对照组为(7.2±0.2)d,差异未见统计学意义(P＞0.05).术后尿道损伤、切口疼痛、肺部感染血栓形成、尿潴留、血清肿、阴囊血肿、出血等比较差异未见统计学意义(P＞0.05).术后6个月复查,两组腹股沟区皮肤感觉异常、复发率、射精痛、睾丸萎缩差异未见统计学意义(P＞0.05),但对照组手术创面局部有明显僵硬感,观察组较柔软,局部僵硬感不明显,观察组慢性疼痛,局部异常不适感明显低于对照组,有较好的腹壁顺应性.结论 腹股沟疝无张力修补术中,应用轻量型补片,可减少术后异常不适感和慢性疼痛感,具较高的可靠性和安全性,具临床推广价值.
目的 探討輕量型補片在腹股溝疝無張力脩補術中應用的療效.方法 選取鶴壁煤業集糰公司總醫院普外科2013年1月至2014年1月收治的腹股溝疝無張力脩補術患者100例,隨機分為對照組和觀察組,每組50例.對照組採用普通聚丙烯材料脩補,觀察組採用輕量型補片脩補,對兩組效果進行比較.結果 兩組手術均成功完成,觀察組手術時間平均為(51.2 ±4.5)min,對照組為(44.2±4.9) min,差異未見統計學意義(P＞0.05).觀察組平均住院(7.2±0.4)d,對照組為(7.2±0.2)d,差異未見統計學意義(P＞0.05).術後尿道損傷、切口疼痛、肺部感染血栓形成、尿潴留、血清腫、陰囊血腫、齣血等比較差異未見統計學意義(P＞0.05).術後6箇月複查,兩組腹股溝區皮膚感覺異常、複髮率、射精痛、睪汍萎縮差異未見統計學意義(P＞0.05),但對照組手術創麵跼部有明顯僵硬感,觀察組較柔軟,跼部僵硬感不明顯,觀察組慢性疼痛,跼部異常不適感明顯低于對照組,有較好的腹壁順應性.結論 腹股溝疝無張力脩補術中,應用輕量型補片,可減少術後異常不適感和慢性疼痛感,具較高的可靠性和安全性,具臨床推廣價值.
목적 탐토경량형보편재복고구산무장력수보술중응용적료효.방법 선취학벽매업집단공사총의원보외과2013년1월지2014년1월수치적복고구산무장력수보술환자100례,수궤분위대조조화관찰조,매조50례.대조조채용보통취병희재료수보,관찰조채용경량형보편수보,대량조효과진행비교.결과 량조수술균성공완성,관찰조수술시간평균위(51.2 ±4.5)min,대조조위(44.2±4.9) min,차이미견통계학의의(P＞0.05).관찰조평균주원(7.2±0.4)d,대조조위(7.2±0.2)d,차이미견통계학의의(P＞0.05).술후뇨도손상、절구동통、폐부감염혈전형성、뇨저류、혈청종、음낭혈종、출혈등비교차이미견통계학의의(P＞0.05).술후6개월복사,량조복고구구피부감각이상、복발솔、사정통、고환위축차이미견통계학의의(P＞0.05),단대조조수술창면국부유명현강경감,관찰조교유연,국부강경감불명현,관찰조만성동통,국부이상불괄감명현저우대조조,유교호적복벽순응성.결론 복고구산무장력수보술중,응용경량형보편,가감소술후이상불괄감화만성동통감,구교고적가고성화안전성,구림상추엄개치.
Objective To investigate the effect of light weight patch on tension-free inguinal hernia repair.Methods From January 2013 to January 2014,100 patients with tension-free inguinal hernia repair surgery in department of general surgery in the general hospital of Hebi coal industry group company were randomly divided into two groups,with 50 cases in each group.The patients in control group were given the ordinary polypropylene material repair,and the patients in observation group were given light weight type patch repair,and the results of the two groups were compared.Results The operations were successfully completed in both groups,the mean operative time in the observation group was (51.2 ± 4.5) min and (44.2 ± 4.9) min in the control group,and there was no significant difference (P ＞ 0.05).The average hospital stay was (7.2 ± 0.4) d in the observation group,and (7.2 ± 0.2) d in the control group; there was no significant difference (P ＞ 0.05).There were no significant differences in the urethral injury,incision pain,thrombosis,pulmonary infection,urinary retention,seroma,scrotal hematoma,bleeding (P ＞ 0.05).After 6 months of operation,there were no significant differences in the groin area paresthesias,relapse rate,painful ejaculation,testicular atrophy (P ＞ 0.05).But the control group had significant local surgical wound stiff feeling,the local surgical wound was softer in observation group,the chronic pain,local discomfort feeling was significantly lower in observation group than that in the control group,and the observation group had better abdominal wall compliance.Conclusions Light weight patch can reduce abnormal postoperative discomfort and chronic pain in tension-free inguinal hernia repair with higher reliability and security,so it has promotional value.
