CAJ | 학술논문

目的分析无张力修补术治疗腹股沟疝的临床效果,为临床治疗方案的选择提供参考.方法以我院普外科2009年2月~2010年6月收治的腹股沟疝患者72例为观察组,进行无张力修补术治疗,以同期收治的进行传统疝修补术治疗的腹股沟疝患者68例为对照组,比较两组患者的手术时间、术中出血量、住院时间和术后并发症的发生率.结果对照组患者手术时间(78.3±21.5)min,术中出血量(106.8±29.5)ml,住院时间(10.5±2.3)d；术后发生并发症5例,发生率为7.35%.观察组患者手术时间(46.7±13.2) min,术中出血量(74.3±21.1)ml,住院时间(5.4±1.8)d；术后发生并发症2例,发生率为2.78%.两组患者手术时间、术中出血量、住院时间、术后并发症发生率比较,差异有统计学意义(p<0.05).结论采用无张力修补术治疗腹股沟疝可以取得较满意的疗效,且术后并发症少,值得临床推广.
목적분석무장력수보술치료복고구산적림상효과,위림상치료방안적선택제공삼고.방법이아원보외과2009년2월~2010년6월수치적복고구산환자72례위관찰조,진행무장력수보술치료,이동기수치적진행전통산수보술치료적복고구산환자68례위대조조,비교량조환자적수술시간、술중출혈량、주원시간화술후병발증적발생솔.결과대조조환자수술시간(78.3±21.5)min,술중출혈량(106.8±29.5)ml,주원시간(10.5±2.3)d；술후발생병발증5례,발생솔위7.35%.관찰조환자수술시간(46.7±13.2) min,술중출혈량(74.3±21.1)ml,주원시간(5.4±1.8)d；술후발생병발증2례,발생솔위2.78%.량조환자수술시간、술중출혈량、주원시간、술후병발증발생솔비교,차이유통계학의의(p<0.05).결론채용무장력수보술치료복고구산가이취득교만의적료효,차술후병발증소,치득림상추엄.
objective analysis of tension free repair of inguinal hernia clinical effect, for clinical treatment options to provide reference. Methods department of general surgery in our hospital from February2009tO2010June treated72 patients with inguinal hernia for the observation group, undergoing tension-free repair in the same period, from traditional herniorrhaphy for inguinal hernia in 68cases as control group, patients in the two groups were compared the operation time, intraoperative bleeding, hospitalization time and the incidence of postoperative complications. Results the patients of control group operation time (78.3±21.5)min, the amount of bleeding in operation (106.8±29.5) ml,(10.5±2.3) hospitalized time D; postoperative complications occurred in 5 patients, the incidence rate of 7.35%. Operation time of the patients in the observation group (46.7±13.2)min, the amount of bleeding in operation (74.3±21.1) ml,(5.4±1.8) hospitalized time D; postoperative complications occurred in 2 patients, the incidence rate of 2.78%. In two groups of patients with operation time, intraoperative blood loss, hospital stay, postoperative complication rate was compared, the difference was statistically significant (P<0.05). Conclusion tension-free inguinal hernia neoplasty can obtain satisfactory curative effect, and less postoperative complications, worthy of clinical application.