CAJ | 학술논문

目的：探讨腹股沟疝无张力修补手术应用在男性患者中对性功能和生活质量的影响及临床应用价值。方法将110例腹股沟疝患者采用数字表法随机分为两组，每组55例。对照组给予常规手术治疗，观察组采用腹股沟疝无张力修补手术治疗，记录两组临床治疗效果。结果观察组术后3个月睾丸体积（10．21±2．61）cm3，睾丸动脉最大血流速度（3．38±1．21）cm／s；对照组术后3个月睾丸体积（10．14±2．63）cm3，睾丸动脉最大血流速度（3．36±1．23）cm／s，组间差异无统计学意义（t＝0．1401、0．0860，均P＞0.05）。观察组术后生理功能（76．64±6．29）分，生理职能（57．86±5．97）分，躯体疼痛（79．27±7．88）分，总体健康（78．85±7．11）分，活力（64．35±5．63）分，社会功能（56．64±5．89）分，情感职能（68．56±6．64）分，精神健康（72．75±6．82）分；对照组术后生理功能（70．03±3．78）分，生理职能（47．13±3．66）分，躯体疼痛（71.09±5．14）分，总体健康（69．93±5．05）分，活力（57．81±3．25）分，社会功能（50．33±4．14）分，情感职能（60．76±5．15）分，精神健康（65．22±4．09）分，组间差异均有统计学意义（t＝6．6801、11．3637、6．4481、7．5855、7.4610、6．5000、6．8839、7．0223，均P＜0．05）。结论腹股沟疝无张力修补手术应用在男性患者中对患者性功能影响轻微，可以提升患者术后生活质量，长期效果有待进一步观察和总结。
목적：탐토복고구산무장력수보수술응용재남성환자중대성공능화생활질량적영향급림상응용개치。방법장110례복고구산환자채용수자표법수궤분위량조，매조55례。대조조급여상규수술치료，관찰조채용복고구산무장력수보수술치료，기록량조림상치료효과。결과관찰조술후3개월고환체적（10．21±2．61）cm3，고환동맥최대혈류속도（3．38±1．21）cm／s；대조조술후3개월고환체적（10．14±2．63）cm3，고환동맥최대혈류속도（3．36±1．23）cm／s，조간차이무통계학의의（t＝0．1401、0．0860，균P＞0.05）。관찰조술후생리공능（76．64±6．29）분，생리직능（57．86±5．97）분，구체동통（79．27±7．88）분，총체건강（78．85±7．11）분，활력（64．35±5．63）분，사회공능（56．64±5．89）분，정감직능（68．56±6．64）분，정신건강（72．75±6．82）분；대조조술후생리공능（70．03±3．78）분，생리직능（47．13±3．66）분，구체동통（71.09±5．14）분，총체건강（69．93±5．05）분，활력（57．81±3．25）분，사회공능（50．33±4．14）분，정감직능（60．76±5．15）분，정신건강（65．22±4．09）분，조간차이균유통계학의의（t＝6．6801、11．3637、6．4481、7．5855、7.4610、6．5000、6．8839、7．0223，균P＜0．05）。결론복고구산무장력수보수술응용재남성환자중대환자성공능영향경미，가이제승환자술후생활질량，장기효과유대진일보관찰화총결。
Objective To discuss the effects on sexual function and quality of life by application of inguinal hernia without tension repair surgery in male patients,and the value of clinical application.Methods 1 10 cases of inguinal hernia patients were randomly divided into 2 groups,with each group of 55 cases.The control group was given conventional surgery,the observation group was conducted with inguinal hernia without tension repair surgery,clinical therapeutic effects of two groups were recorded.Results Testicular volume of the observation group 3 months after operation was (10.21 ±2.61)cm3,testicular artery biggest blood flow velocity was (3.38 ±1.21)cm/s.Testicular volume of the control group 3 months after operation was (10.14 ±2.63)cm3,testicular artery biggest blood flow velocity was (3.36 ±1.23)cm/s,the differences between the two groups had no statistical significance (t=0.1401, 0.0860,all P>0.05).The observation group had physiological function score of (76.64 ±6.29),physiological role score of (57.86 ±5.97),body pain score of (79.27 ±7.88)points,overall health score of (78.85 ±7.11mm), energy score of (64.35 ±5.63)points,social function score of (56.64 ±5.89)points,emotional functions score of (68.56 ±6.64)points and mental health score of (72.75 ±6.82)points.The control group had physiological function score of (70.03 ±3.78)points,physiological role score of (47.13 ±3.66),body pain score of (71.09 ± 5.14)points,overall health score of (69.93 ±5.05mm),energy score of (57.81 ±3.25)points,social function score of (50.33 ±4.14)points,emotional functions score of (60.76 ±5.15)points and mental health score of (65.22 ± 4.09)points,the differences between the two groups were statistically significant (t=6.680 1,11.363 7,6.448 1, 7.585 5,7.461 0,6.500 0,6.883 9,7.022 3,all P<0.05).Conclusion Application of inguinal hernia without tension repair surgery in male patients has mild effect on sexual function,it could improve patients quality of life,but the long-term effects remain to be further observed and summarized.