摘要
目的探讨自固定补片治疗巨大腹股沟疝的应用效果。方法方便选取2016年9月—2017年8月期间该院收治的100例行腹腔镜经腹腹膜前疝修补术(transabdominal preperitoneal,TAPP)的巨大腹股沟疝患者的临床资料,根据补片使用不同分为自固定补片组(n=50)和普通补片组(n=50)。分析比较两组患者的各项手术指标、术后各时间点的术后视觉模拟评分(visual analogue scale,VAS)和术后合并症等指标。结果两组患者的铺片耗时[(48.97±6.25)min vs(52.01±9.34)min,t=1.913]、手术时间[(43.78±6.19)min vs(44.90±7.18)min,t=0.835]、术中出血量[(18.67±4.74)m L vs(19.05±4.23)m L,t=0.423]、术后住院时间[(4.35±1.14)d vs(4.58±1.20)d,t=0.983]等均比较相近,差异无统计学意义(P>0.05)。自固定补片组患者术后12 h的VAS评分[(3.57±0.78)分vs(4.09±0.71)分,t=3.486]、24 h的VAS评分[(4.35±0.84)分vs(4.91±0.92)分,t=3.19]、48 h的VAS评分[(2.16±0.47)分vs(2.48±0.33)分,t=3.940]和术后1个月的VAS评分[(2.16±0.74)分vs(2.67±0.60)分,t=3.785)]均低于普通补片组,差异有统计学意义(P<0.05)。两组患者的并发症发生率比较差异无统计学意义(8.00%vs 12.00%,t=0.444,P>0.05)。结论自固定补片治疗巨大腹股沟疝不会增加手术时间和术后并发症风险,对减轻患者术后疼痛有显著效果,临床应用价值显著。
Objective To study the application effect of self-fixed patches in treatment of giant inguinal hernia. Methods100 cases of giant inguinal hernia patients with TAPP in our hospital from September 2016 to August 2017 were convenient selected and divided into two groups with 50 cases in each according to different usage of patches, with 50 cases in each,and various operation indexes, VAS scores at each time point and postoperative complications were compared between groups. Results The stretched preparation time [（48.97±6.25）min vs（52.01±9.34）min, t=1.913） min, operation time [（43.78±6.19）min vs（44.90±7.18）min, t=0.835], intraoperative bleeding amount [（18.67±4.74）m L vs（19.05±4.23）m L, t=0.423], and postoperative length of stay [（4.35±1.14）d vs 4.58±1.20）d, t=0.983] were similar, and the differences were not statistically significant（P〈0.05）, and the VAS scores in 12 h, 24 h, 48 h, and 1 month after surgery in the self-fixed patch group were respectively [（3.57±0.78）points vs（4.09±0.71）points, t=3.486] [（4.35±0.84）points vs（4.91±0.92）points, t=3.19], [（2.16±0.47）points vs（2.48±0.33）points, t=3.940] and [（2.16±0.74）points vs（2.67±0.60）points, t=3.785], which were lower than those in the common patch group, and the differences were statistically significant（P〈0.05）, and the difference in the incidence rate of complications between the two groups was not statistically significant（8.00% vs 12.00%,χ2=0.444,P〈0.05）. Conclusion The self-fixed patches in treatment of giant inguinal hernia can not increase the operation time and postoperative complication risk, which has an obvious effect on relieving the postoperative pains of patients, and the clinical application value is obvious.
作者
王福祥
WANG Fu-xiang(Department of Surgery,Longkou Hospital of TCM,Longkou,Shandong Province,265701 China)
出处
《中外医疗》
2018年第17期59-61,共3页
China & Foreign Medical Treatment
关键词
自固定补片
巨大腹股沟疝
对照研究
Self-fixed patch
Giant inguinal hernia
Research on comparison
