中国当代医药
中國噹代醫藥
중국당대의약
China Modern Medicine
2015年
27期
39-41,44
,共4页
无张力疝修补术%传统疝修补术%腹沟股疝%老年人
無張力疝脩補術%傳統疝脩補術%腹溝股疝%老年人
무장력산수보술%전통산수보술%복구고산%노년인
Tension-free hemioplasty%Traditional hernioplasty%Inguinal hernia%Elderly patient
目的：比较无张力疝修补术与传统疝修补术治疗老年腹股沟疝的效果。方法选取本院2013年3月~2014年9月收治的250例老年腹沟股疝患者作为研究对象，根据治疗方式的不同将其者分成观察组（126例）和对照组（124例）。观察组给予无张力疝修补术，对照组给予传统疝修补术。比较两组的手术时间、术中出血量等手术各项指标情况，术后随访观察疝复发、异物感等指标，比较其术后并发症发生率。结果观察组的手术时间、下床活动时间、术后疼痛时间、病情持续时间、恢复工作时间、住院时间显著短于对照组，差异有统计学意义（P<0.05）。观察组的术中出血量及应用止痛药次数显著少于对照组，差异有统计学意义（P<0.05）。观察组的住院费用显著高于对照组，差异有统计学意义（P<0.05）。两组的术后早期疼痛发生率比较，差异无统计学意义（P>0.05）。观察组的疝复发、异物感、切口感染、尿潴留、阴囊血肿、阴囊萎缩、远期疼痛、早期及远期活动受限及术区麻木感发生率显著低于对照组，差异有统计学意义（P<0.05）。结论无张力疝修补术能够降低老年腹股沟疝患者的术后早期及远期不良反应发生率，值得临床推广应用。
目的：比較無張力疝脩補術與傳統疝脩補術治療老年腹股溝疝的效果。方法選取本院2013年3月~2014年9月收治的250例老年腹溝股疝患者作為研究對象，根據治療方式的不同將其者分成觀察組（126例）和對照組（124例）。觀察組給予無張力疝脩補術，對照組給予傳統疝脩補術。比較兩組的手術時間、術中齣血量等手術各項指標情況，術後隨訪觀察疝複髮、異物感等指標，比較其術後併髮癥髮生率。結果觀察組的手術時間、下床活動時間、術後疼痛時間、病情持續時間、恢複工作時間、住院時間顯著短于對照組，差異有統計學意義（P<0.05）。觀察組的術中齣血量及應用止痛藥次數顯著少于對照組，差異有統計學意義（P<0.05）。觀察組的住院費用顯著高于對照組，差異有統計學意義（P<0.05）。兩組的術後早期疼痛髮生率比較，差異無統計學意義（P>0.05）。觀察組的疝複髮、異物感、切口感染、尿潴留、陰囊血腫、陰囊萎縮、遠期疼痛、早期及遠期活動受限及術區痳木感髮生率顯著低于對照組，差異有統計學意義（P<0.05）。結論無張力疝脩補術能夠降低老年腹股溝疝患者的術後早期及遠期不良反應髮生率，值得臨床推廣應用。
목적：비교무장력산수보술여전통산수보술치료노년복고구산적효과。방법선취본원2013년3월~2014년9월수치적250례노년복구고산환자작위연구대상，근거치료방식적불동장기자분성관찰조（126례）화대조조（124례）。관찰조급여무장력산수보술，대조조급여전통산수보술。비교량조적수술시간、술중출혈량등수술각항지표정황，술후수방관찰산복발、이물감등지표，비교기술후병발증발생솔。결과관찰조적수술시간、하상활동시간、술후동통시간、병정지속시간、회복공작시간、주원시간현저단우대조조，차이유통계학의의（P<0.05）。관찰조적술중출혈량급응용지통약차수현저소우대조조，차이유통계학의의（P<0.05）。관찰조적주원비용현저고우대조조，차이유통계학의의（P<0.05）。량조적술후조기동통발생솔비교，차이무통계학의의（P>0.05）。관찰조적산복발、이물감、절구감염、뇨저류、음낭혈종、음낭위축、원기동통、조기급원기활동수한급술구마목감발생솔현저저우대조조，차이유통계학의의（P<0.05）。결론무장력산수보술능구강저노년복고구산환자적술후조기급원기불량반응발생솔，치득림상추엄응용。
Objective To compare the effect of tension-free hernioplasty and traditional hernioplasty in the treatment of elderly patients with inguinal hernia. Methods 250 elderly patients with inguinal hernia from March 2013 to September 2014 in our hospital were selected and divided into the observation group (n=126) and the control group (n=124) ac-cording to different treatment methods.The observation group was treated with tension-free hemioplasty,the control group was treated with traditional hernioplasty.The situation of operation index liked operation time and blood loss dur-ing operation was compared between two groups.The index liked relapse hernia and foreign body sensation was fol-lowed-up after operation.The incidence rate of complication after operation was compared. Results The operation time, activity out of bed time,postoperative pain time,duration of illness,recovery time,hospitalization time in the observation group was shorter than that in the control group,with significant difference (P<0.05).The amount of blood loss and the number of the painkiller application in the observation group was less than that in the control group,with significant dif-ference (P<0.05).The operation cost in the observation group was higher than that in the control group,with significant difference (P<0.05).There was no significant difference between two groups in early pain after operation(P>0.05).The in-cidence rate of relapse hernia,foreign body sensation,incision infection,urinary retention,scrotum hematoma,scrotum atro-phy,long-term pain,early and long-term limitation of motion and postoperative numbness in the observation group was lower than that in the control group,with significant difference (P<0.05). Conclusion Tension-free hemioplasty can re-duce the incidence of postoperative early and long-term adverse reaction in elderly patients with inguinal hernia,it is worthy of clinical promotion and application.
