摘要
目的分析不同开放式无张力疝修补术治疗成人腹股沟疝的效果。方法方便选择来该院就医的成人腹股沟疝患者36例(2013年11月—2017年11月),通过就诊顺序单双号分组(分2组)。分别给予传统手术、开放式无张力疝修补术治疗,对比2组手术相关指标情况、疼痛持续时间、并发症发生情况。结果 (1)观察组术中出血量为(120.54±15.55)m L、手术时间为(81.54±25.56)min、住院天数为(7.42±1.11)d、下床活动时间为(2.41±1.13)d,数据优于对照组(t=13.734 9、P=0.000 1;t=2.693 9、P=0.010 9;t=9.073 6、P=0.000 1;t=10.500 7、P=0.000 1);(2)观察组疼痛持续时间为(0.82±0.54)d,数据低于对照组(t=10.452 9,P=0.000 1);(3)观察组并发症发生例数有5例,对照组有12例,数据之间差异有统计学意义(χ2=5.461 3、P=0.019 4)。结论开放式无张力疝修补术治疗成人腹股沟疝效果显著,可有效改善患者临床症状,缩短住院时间以及下床活动时间,有效稳定患者病情,还能够有效降低患者的复发情况,提高患者预后效果,可推广。
Objective This paper tries to analyze the effect of different open tension-free hernia repair on adult inguinal hernia. Methods Adult inguinal hernia patients（36 cases, from November 2013 to November 2017） who had come to this hospital for treatment were convenient selected and grouped into two groups according to the order of visits. The patients were given traditional surgery and open tension-free hernia repair respectively. The operative-related indicators, pain duration, and complications were compared between the two groups. Results（1） In the observation group, intraoperative blood loss was（120.54±15.55）m L, operation time was（81.54±25.56）minutes, hospitalization days was（7.42±1.11）days, and ambulation time was（2.41±1.13） days, better than those in the control group（t=13.734 9, P=0.000 1;t=2.693 9, P=0.010 9;t=9.0736, P=0.000 1;t=10.507 7, P=0.000 1）;（2）and the pain duration in the observation group was（0.82±0.54） days, the data was lower than the control group（t=10.452 9, P=0.000 1）;（3）observation group complications in 5 cases, the control group in 12 cases, there was a certain difference between the data（χ2= 5.461 3, P=0.019 4）. Conclusion Open tension-free hernia repair is effective in the treatment of adult inguinal hernia, which can effectively improve the clinical symptoms of patients, shorten the hospitalization time and the time of getting out of bed, effectively stabilize the patient＇s condition, and can effectively reduce the patient＇s recurrence and improve the prognosis of the patient, which is worth promotion.
作者
岳海燕
YUE Hai-yan(Department of Surgery,Shuibei Center Hospital,Jintan,Jiangsu Province,213221 China)
出处
《中外医疗》
2018年第16期67-69,共3页
China & Foreign Medical Treatment
关键词
无张力疝修补术
腹股沟疝
效果对比
观察
Tension-free hernia repair
Inguinal hernia
Effeet eomparison
Observation
