医药前沿
醫藥前沿
의약전연
YIAYAO QIANYAN
2014年
34期
390-390,391
,共2页
疝,腹股沟%疝修补术%对比研究
疝,腹股溝%疝脩補術%對比研究
산,복고구%산수보술%대비연구
Hernia,inguinal%Herniorrhaphy%Comparative study
目的：比较硬膜外麻醉下网塞充填式与自粘式平片修补术治疗腹股沟疝的疗效。方法：回顾性分析2011年8月至2014年8月，成都大学附属医院诊治的腹股沟疝患者116例，随机分为2组，A组64例患者采用网塞充填式修补法，B组52例患者采用平片无张力修补法。观察对比2组患者的手术时间、术后并发症、住院时间、费用以及术后复发情况。结果：2组患者术后在阴囊水肿、复发率上，差异不具有统计学意义(x2=0.049、0.791，P=0.824、0.374)；在术后异物感、术后慢性疼痛上，A组高于B组，差异有统计学意义(x2=6.424、4.294，P=0.011、0.038)。二组患者手术时间、住院时间等情况比较差异有统计学意义(x2=11.327、4.479，P均=0.000)，平均住院费比较差异无统计学意义(x2=1.554，P=0.061)。术后随访4~12个月，二组患者均无复发。结论：2种手术治疗腹股沟疝均疗效确切、安全、复发率低，但自粘式平片无张力修补术式操作简单，术后并发症少，患者住院日更短。
目的：比較硬膜外痳醉下網塞充填式與自粘式平片脩補術治療腹股溝疝的療效。方法：迴顧性分析2011年8月至2014年8月，成都大學附屬醫院診治的腹股溝疝患者116例，隨機分為2組，A組64例患者採用網塞充填式脩補法，B組52例患者採用平片無張力脩補法。觀察對比2組患者的手術時間、術後併髮癥、住院時間、費用以及術後複髮情況。結果：2組患者術後在陰囊水腫、複髮率上，差異不具有統計學意義(x2=0.049、0.791，P=0.824、0.374)；在術後異物感、術後慢性疼痛上，A組高于B組，差異有統計學意義(x2=6.424、4.294，P=0.011、0.038)。二組患者手術時間、住院時間等情況比較差異有統計學意義(x2=11.327、4.479，P均=0.000)，平均住院費比較差異無統計學意義(x2=1.554，P=0.061)。術後隨訪4~12箇月，二組患者均無複髮。結論：2種手術治療腹股溝疝均療效確切、安全、複髮率低，但自粘式平片無張力脩補術式操作簡單，術後併髮癥少，患者住院日更短。
목적：비교경막외마취하망새충전식여자점식평편수보술치료복고구산적료효。방법：회고성분석2011년8월지2014년8월，성도대학부속의원진치적복고구산환자116례，수궤분위2조，A조64례환자채용망새충전식수보법，B조52례환자채용평편무장력수보법。관찰대비2조환자적수술시간、술후병발증、주원시간、비용이급술후복발정황。결과：2조환자술후재음낭수종、복발솔상，차이불구유통계학의의(x2=0.049、0.791，P=0.824、0.374)；재술후이물감、술후만성동통상，A조고우B조，차이유통계학의의(x2=6.424、4.294，P=0.011、0.038)。이조환자수술시간、주원시간등정황비교차이유통계학의의(x2=11.327、4.479，P균=0.000)，평균주원비비교차이무통계학의의(x2=1.554，P=0.061)。술후수방4~12개월，이조환자균무복발。결론：2충수술치료복고구산균료효학절、안전、복발솔저，단자점식평편무장력수보술식조작간단，술후병발증소，환자주원일경단。
Objective To compare the efficacy of mesh plug repair and flat mesh repair for inguinal hernia under local anesthesia. Methods A retrospective study was performed. From August 2011 to August 2014,116 patients of inguinal hernia who were admitted to Affiliated Hospital of Chengdu University,were randomly divided into two groups:64 patients in group A using plug mesh and 52 patients in group B using flat mesh.The operating time,complications,hospital stay,cost and short-term recurrence were compared both in the two groups.Results There were no significant differences between two groups in postoperative complications regarding scrotal seroma or recurrence rate(x2=0.049、0.791,P=0.824、0.374); foreign body sensation was fewer in group B compared with group A (x2=6.424、4.294,P=0.011、0.038). The operating time and the length of stay were significantly different between two groups(x2=11.327、4.479,al P=0.000),while there was no difference in terms of average cost of hospitalization(x2=1.554,P=0.061). After a fol ow-up of 4 to 12 months,no recurrence occurred in two groups.Conclusion Both two procedures areshown to be safe and effective,but flat mesh tension-free repair can be easy to perform and has the advantages of less complications and few length of stay.
