摘要
目的探讨分析对腹股沟疝患者分别采用传统张力疝修补术和充填式无张力疝修补术进行治疗的实际临床效果,为进一步合理有效的治疗腹股沟疝患者提供科学依据。方法随机选取2014年2—12月在本院接受治疗的腹股沟疝60例男性患者作为研究对象,采用随机数字表的方法将研究对象分为实验组(30例)和对照组(30例),实验组研究对象采用充填式无张力疝修补术进行治疗,对照组研究对象采用传统Bassini修补术进行治疗,观察分析实验组与对照组研究对象的临床疗效(手术时间、下床活动时间、术后住院时间)、并发症(低热、尿潴留、术后疼痛、阴囊水肿)发生率、止疼药应用率及术后复发率。结果实验组比对照组手术时间长,但实验组下床活动时间和住院时间均短于对照组,具有统计学意义(P<0.05);低热、尿潴留发生率两组无明显差异(P>0.05),实验组术后疼痛及阴囊水肿发生率明显低于对照组,差异具有统计学意义(P<0.05);在止疼药应用率方面,实验组与对照组比较差异显著,具有统计学意义(P<0.05);术后一年复发率两组无明显差异(P>0.05)。结论采用充填式无张力疝修补术治疗腹股沟疝的临床效果明显优于传统疝修补术,患者的生活质量提高,值得进一步应用和推广。
Objective To investigate the clinical effect of traditional tension hernia repair and tensionfree hernia repair for inguinal hernia,to provide scientific basis for the rational and effective treatment of patients with inguinal hernia.Methods 60 patients with inguinal hernia who were treated in our hospital from 2014 to December were randomly selected as the subjects of the study.The subjects were randomly divided into experimental group（30 cases） and control group（30 cases）,the experimental group was treated with filling tension-free hernia repair,and the control group was treated with traditional Bassini repair,observed the clinical efficacy of the experimental group and the control group subjects（operation time,hospitalization time,postoperative ambulation time）,complications（fever,urinary retention,postoperative pain,edema of scrotum）occurred recurrence rate,pain rate and postoperative application of medicine.Results Compared with the control group,the operation time was longer in the experimental group than that in the control group,and there was statistical significance（P〈0.05）,There was no significant difference between the two groups in the incidence of low fever and urinary retention（P〉0.05）,The incidence of postoperative pain and scrotal edema was significantly lower in the experimental group than in the control group（P〈0.05）.There was significant difference between the experimental group and the control group in the application rate of pain medication,the difference between the two groups was statistically significant（P〈0.05）.The recurrence rate was not significantly different between the two groups（P〉0.05）.Conclusions Clinical application of filling tension-free herniorrhaphy in the treatment of inguinal hernia is superior to traditional hernia repair,and the quality of life of the patient is improved,which is worthy of further application and popularization.
出处
《齐齐哈尔医学院学报》
2016年第36期4506-4508,共3页
Journal of Qiqihar Medical University
关键词
腹股沟疝
传统疝修补术
充填式无张力修补术
临床疗效
Inguinal hernia
Traditional hernia repair
Filled with tension-free repair
Clinical efficacy
