摘要
目的:探讨腹膜前间隙修补术对比李金斯坦无张力疝修补术(Lichtenstein术)治疗老年单侧腹股沟疝的临床效果。方法:选取2020年1月至2021年6月于我院普外科就诊的180例腹股沟疝患者作为研究对象,按照手术术式不同分为对照组和实验组,各90例。对照组采用Lichtenstein修补术,实验组采用腹膜前间隙修补术。比较两组身体恢复情况相关指标、并发症、术后视觉模拟量表(Visual analogue scale,VAS)评分以及复发率。结果:实验组手术时间、住院时间、下床活动时间均明显短于对照组,术中出血量明显低于对照组(P<0.05);实验组并发症发生率、术后24 h的VAS评分均明显低于对照组(P<0.05);两组术后30d和60d的VAS评分、术后复发率均无明显差异(P>0.05)。结论:对老年单侧腹股沟疝患者来说,推荐开放式腹膜前间隙修补术进行临床治疗,相比Lichtenstein修补术的安全性更高,患者疼痛感更轻,预后更好。
Objective:To compare the clinical effect of preperitoneal tension-free repair and Lichtenstein repair in the treatment of unilateral inguinal hernia in the elderly.Methods:A total of 180 patients with inguinal hernia who were treated in our hospital from January 2020 to June 2021 were selected as the research subjects and were divided into a control group and experimental group according to different surgical procedures,with 90 patients in each group.Patients in control group were treated by Lichtenstein repair,while patients in experimental group were treated by preperitoneal tension-free repair.The indicators related to physical recovery,complications,postoperative visual analog scale(VAS)scores and recurrence rates between the two groups were compared.Results:The surgical time,hospitalization time and time to get out of bed activity in experimental group were shorter than those in control group,and the intraoperative bleeding was lower than that in control group(P<0.05).The incidence of complications and postoperative VAS score at 24 hours in experimental group were lower than those in control group(P<0.05).There was no significant difference in VAS scores at 30 and 60 days after surgery and postoperative recurrence rate between the two groups(P>0.05).Conclusion:For elderly patients with unilateral inguinal hernia,open preperitoneal tension-free repair is recommended for clinical treatment,it has higher safety,less pain,and better prognosis compared to Lichtenstein repair.
作者
陈进
Chen Jin(General surgery,Dazhou integrated TCM&Western Medicine Hospital,Dazhou 635000,Sichuan,China)
出处
《四川生理科学杂志》
2023年第10期1853-1856,共4页
Sichuan Journal of Physiological Sciences
