中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
21期
59-60
,共2页
开放术式腹膜前间隙无张力疝修补术%腹股沟疝%临床研究
開放術式腹膜前間隙無張力疝脩補術%腹股溝疝%臨床研究
개방술식복막전간극무장력산수보술%복고구산%림상연구
Open surgery before peritoneal clearance without tension hernia repair%Inguinal hernia%Clinical research
目的：分析开放术式腹膜前间隙无张力疝修补术治疗腹股沟疝的临床疗效。方法随机选取2011年9月-2014年8月该院收治的30例腹股沟疝患者作为研究组，给予开放术式腹膜前间隙无张力疝修补术治疗；同期将收治的30例腹股沟疝患者作为对照组，给予传统疝修补法治疗；对比两组患者临床疗效。结果研究组平均手术时间、下床活动时间、住院时间均明显短于对照组，差异有统计学意义(P<0.05)。研究组尿潴留、阴囊水肿、切口感染等并发症发生率为3.33%明显低于对照组的16.67%，差异有统计学意义(P<0.05)。研究组VSA评分明显低于对照组，差异有统计学意义(P<0.05)。两组患者复发率对比，差异有统计学意义(P<0.05)。结论开放术式腹膜前间隙无张力疝修补术治疗腹股沟疝，具有手术快、恢复快、并发症少、疼痛小等优势，有利于降低疾病复发率，值得临床推广。
目的：分析開放術式腹膜前間隙無張力疝脩補術治療腹股溝疝的臨床療效。方法隨機選取2011年9月-2014年8月該院收治的30例腹股溝疝患者作為研究組，給予開放術式腹膜前間隙無張力疝脩補術治療；同期將收治的30例腹股溝疝患者作為對照組，給予傳統疝脩補法治療；對比兩組患者臨床療效。結果研究組平均手術時間、下床活動時間、住院時間均明顯短于對照組，差異有統計學意義(P<0.05)。研究組尿潴留、陰囊水腫、切口感染等併髮癥髮生率為3.33%明顯低于對照組的16.67%，差異有統計學意義(P<0.05)。研究組VSA評分明顯低于對照組，差異有統計學意義(P<0.05)。兩組患者複髮率對比，差異有統計學意義(P<0.05)。結論開放術式腹膜前間隙無張力疝脩補術治療腹股溝疝，具有手術快、恢複快、併髮癥少、疼痛小等優勢，有利于降低疾病複髮率，值得臨床推廣。
목적：분석개방술식복막전간극무장력산수보술치료복고구산적림상료효。방법수궤선취2011년9월-2014년8월해원수치적30례복고구산환자작위연구조，급여개방술식복막전간극무장력산수보술치료；동기장수치적30례복고구산환자작위대조조，급여전통산수보법치료；대비량조환자림상료효。결과연구조평균수술시간、하상활동시간、주원시간균명현단우대조조，차이유통계학의의(P<0.05)。연구조뇨저류、음낭수종、절구감염등병발증발생솔위3.33%명현저우대조조적16.67%，차이유통계학의의(P<0.05)。연구조VSA평분명현저우대조조，차이유통계학의의(P<0.05)。량조환자복발솔대비，차이유통계학의의(P<0.05)。결론개방술식복막전간극무장력산수보술치료복고구산，구유수술쾌、회복쾌、병발증소、동통소등우세，유리우강저질병복발솔，치득림상추엄。
Objective To analyze the clinical effect of open preperitoneal tension-free hernioplasty in the treatment of inguinal hernia. Methods 30 patients with inguinal hernia who were treated with open preperitoneal tension-free hernioplasty between September 2011 and August 2014 and other 30 patients who underwent traditional hernia repair during the same in our hospital were assigned to study group and control group respectively for the comparison of their clinical effects. Results The average operation time, ambulation time, length of hospital stay were shorter in the study group than in the control group, and the differences were statistically significant (P< 0.05). The incidence of urinary retention, scrotal edema, incision infection and other complications was 3.33%in the study group, obviously lower than 16.67%in the control group, and the difference was statistically significant (P<0.05). The VSA score was significantly lower in the study group than in the control group, and the difference was statistically significant (P<0.05). Between recurrence rates of the two groups, the difference was statistically significant (P< 0.05). Conclusion Open preperitoneal tension-free hernioplasty is worthy of promotion in the clinical treatment of inguinal hernia because with the advantages of shorter operation time, quick recovery, less complication and pain it can induce the recurrence rates.
