摘要
目的探讨腹腔镜下疝修补术治疗原发性腹壁疝的效果.方法选取金乡县人民医院2018年2月—2023年2月收治的78例原发性腹壁疝患者为研究对象,按随机数字表法将其分为对照组及观察组,每组39例.对照组行开放式疝修补术,观察组行腹腔镜下疝修补术.比较两组患者的手术情况﹑疼痛程度﹑血清炎症因子水平﹑生活质量及并发症发生情况.结果观察组的术中出血量为(38.59±3.41)mL,少于对照组,手术﹑住院及术后胃肠功能恢复时间分别为(89.65±6.32)min﹑(5.42±1.02)d﹑(14.25±1.32)h,均短于对照组,组间差异有统计学意义(P<0.05).术后12﹑24﹑48 h,观察组的疼痛视觉模拟评分分别为(4.65±0.48)分﹑(3.28±0.33)分﹑(2.03±0.25)分,均低于对照组,组间差异有统计学意义(P<0.05).术后24 h,观察组的血清白细胞介素-6﹑C反应蛋白﹑肿瘤坏死因子-α水平分别为(15.36±1.22)ng/L﹑(20.48±2.13)mg/L﹑(4.58±0.43)ng/mL,均低于对照组,组间差异有统计学意义(P<0.05).术后3个月,观察组的世界卫生组织生活质量评定量表简表中生理﹑社会﹑心理﹑环境领域评分分别为(84.56±5.82)分﹑(86.44±5.53)分﹑(90.33±4.41)分﹑(91.52±4.13)分,均高于对照组,组间差异有统计学意义(P<0.05).观察组的并发症发生率为5.13%,低于对照组,差异有统计学意义(P<0.05).结论采用腹腔镜下疝修补术治疗原发性腹壁疝的效果理想,可减轻机体创伤,降低术后疼痛评分,避免炎症因子水平过度升高,且并发症较少,利于改善患者术后生活质量.
Objective To investigate the effect of laparoscopic hernia repair in the treatment of primary abdominal hernia.Methods 78 patients with primary abdominal hernia admitted to Jinxiang County People's Hospital from February 2018 to February 2023 were selected as the study objecgts and were divided into a control group and an observation group according to random number table method,with 39 cases in each group.The control group underwent open hernia repair,and the observation group underwent laparoscopic hernia repair.The operation status,pain degree,serum inflammatory factor level,quality of life and complications were compared between the two groups.Results The intraoperative blood loss in the observation group was(38.59±3.41)mL,less than that in the control group,the decibels of operation,hospitalization and postoperative gastrointestinal function recovery time were(89.65±6.32)min,(5.42±1.02)d and(14.25±1.32)h,respectively,which were shorter than those in the control group,the differences between the groups were statistically significant(P<0.05).12,24 and 48 hours after surgery,the pain Visual Analogue Scale scores of the observation group were(4.65±0.48)points,(3.28±0.33)points and(2.03±0.25)points,respectively,which were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).24 hours after surgery,the serum levels of interleukin-6,C-reactive protein and tumor necrosis factor-α in the observation group were(15.36±1.22)ng/L,(20.48±2.13)mg/L and(4.58±0.43)ng/mL,respectively,which were lower than those in the control group,and the differences between the groups were statistically significant(P<0.05).3 months after surgery,the World Health Organization Quality of Life-BREF scale scores in the physiological,social,psychological and environmental fields in the observation group were(84.56±5.82)points,(86.44±5.53)points,(90.33±4.41)points and(91.52±4.13)points,respectively,which were higher than those in the control group,the differences between the groups were statistically significant(P<0.05).The complication rate of the observation group was 5.13%,which was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The effect of laparoscopic hernia repair in the treatment of primary abdominal hernia is ideal,which can reduce body trauma,reduce postoperative pain score,avoid excessive increase of inflammatory factors,and have fewer complications,which is conducive to improving the postoperative quality of life of patients.
作者
金钊
JIN Zhao(Department of Gastroenteroabdominal Hernia Surgery,Jinxiang County People's Hospital,Jining Shandong,272200,China)
出处
《反射疗法与康复医学》
2023年第20期149-152,共4页
Reflexology And Rehabilitation Medicine
关键词
原发性腹壁疝
腹腔镜下疝修补术
开放式疝修补术
疼痛程度
炎症因子水平
Primary abdominal hernia
Laparoscopic hernioplasty repair
Open hernia repair
Degree of pain
Inflammatory factor levels
