摘要
目的分析并评价不同年龄层腹股沟疝患者行无张力疝修补术的临床疗效。方法选取芜湖市五人民医院普外科自2016年8月至2018年8月收治的90例腹股沟疝患者作为研究对象,将其按照年龄分为观察组(<60岁)35例和对照组(≥60岁)55例,均实施无张力疝修补术,对比2组患者的手术疗效,随访1年对比并发症发生情况和复发率。结果2组患者的性别、BMI、疝类型、疝部位等基线资料对比无统计学差异(P>0.05);两组患者在手术时间、住院天数及住院费用方面差异均无统计学意义(P>0.05),但观察组患者的术后下床时间明显短于对照组,差异有统计学意义(P<0.05);观察组术后并发症发生率为5.71%(2/35),1年内复发率为2.86%(1/35),对照组术后并发症发生率为7.27%(4/55),复发率为5.45%(3/55),两组的并发症发生率和1年内复发率均无统计学差异(P>0.05)。结论对于年龄<60岁的腹股沟疝患者行无张力修补术的临床疗效较为理想,患者术后恢复时间较短,术后并发症和复发率较低,手术安全性较好;尽管年龄≥60岁的腹股沟疝患者行无张力疝修补术术后下床时间相对较长,术后恢复速度较慢,但手术效果仍较理想,在完善身体机能、药物代谢能力评估等术前评估的前提下患者可持久获益。
Objective To analyze and evaluate the clinical effect of tension-free hernioplasty for inguinal hernia of different ages.Methods From August 2016 to August 2018,90 patients with inguinal hernia were selected as the research objects,and they were divided into observation group(<60 years old,n=35)and control group(≥60 years old,n=55),respectively.The same tension-free hernia repair was performed in the two groups,and the surgical effect of the two groups was compared.The patients in the two groups were followed up for one year,to compare recurrence rate and complications.Results There was no statistical difference between the two groups in terms of gender,BMI,hernia type,hernia location and other baseline data(P>0.05);there was no statistical difference between the two groups in terms of operation time,hospitalization days and hospitalization expenses(P>0.05),but the time of getting out of bed after operation in the observation group was significantly shorter than that in the control group(P<0.05);the incidence of postoperative complications in the observation group was 5.71%(2/35),and the recurrence rate in one year was 2.86%(1/35).The postoperative complication rate in the control group was 7.27%(4/55)and the recurrence rate was 5.45%(3/55).There was no statistical difference in the complication rate and recurrence rate within 1 year between the two groups(P>0.05).Conclusion The clinical effect of tension-free herniorrhaphy is ideal for the patients under 60 years old.The postoperative recovery time is short,the postoperative complications and recurrence rate are low,and the operation safety is good.Although the time of getting out of bed after tension-free herniorrhaphy for the patients over 60 years old is relatively long and the recovery speed is slow,the operation effect is still reasonable.It is thought that patients can gain long-term benefits under the premise of improving the preoperative assessment of physical function and drug metabolism.
作者
王安全
刘家彬
周文婷
Wang Anquan;Liu Jiabin;Zhou Wenting(Department of General Surgery,Wuhu Five People's Hospital,Wuhu 241000,China;Operation Room Nursing,Wuhu Five People's Hospital,Wuhu 241000,China)
出处
《中华疝和腹壁外科杂志（电子版）》
2020年第1期59-62,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
基金
皖南医学院校中青年基金(WK2019F22)
关键词
疝
腹股沟
无张力修补术
年龄
疗效观察
安全性分析
Hernia
inguinal
Tension-free repair
Different ages
Curative effect observation
Safety analysis
