摘要
目的分析比较Lichtenstein无张力与开放式腹膜前间隙修补术治疗腹股沟疝的临床效果与安全性,以期为临床合理治疗腹股沟疝气提供选择依据。方法选取腹部外科2012年1月~2013年12月收治的196例腹股沟疝患者为研究对象。将采取腹膜前间隙修补术进行治疗的114例患者作为研究组,将采用Lichtenstein修补术进行治疗的82例患者作为对照组,比较分析两组患者的手术时间、术中出血量、术后下床活动时间、术后住院时间及术后并发症、疝复发的发生情况。结果与对照组比较,开放式腹膜前间隙修补术治疗腹股沟疝的患者手术时间短,术中出血少、下床时间早,住院时间短,差异均有统计学意义（P〈0.05）;研究组患者术后并发症的总发生率明显低于对照组,差异有统计学意义（P〈0.05）。但在切口感染和尿潴留方面比较,差异无统计学意义（P〉0.05）;两组患者术后复发比较差异有统计学差异（P〈0.05）。结论开放式腹膜前间隙修补术治疗腹股沟疝的手术时间更短、患者恢复得更快,疼痛更轻,且并发症的发生率与病情的复发率更低。
Objective To compare Liehtenstein without tension and open surgical repair of peritoneal clearance be- fore the clinical effect and security of the treatment of inguinal hernia, in order to provide selection basis for rational clin- ical treatment of inguinal hernia. Methods To choose our abdominal surgery from January 2012 to December 2012, 196 patients with inguinal hernia were treated as the research object. Will take peritoneal clearance before repair for treatment of 114 cases of patients as a team, will use the Lichtenstein repair for treatment of 82 cases as control group, the compar- ative analysis of two groups of patients with operation time, intraoperative blood loss, postoperative bed time, postopera- tive hospital stay and postoperative complications, recurrence of hernia is happening. Results Compared with control group, the open surgical repair of peritoneal clearance before treatment of patients with inguinal hernia operation time is short, less intraoperative hemorrhage, early bed time, shorter hospitalization time, the difference had statistical siguifi- cance （ P 〈 0.05 ） ; Team in patients with postoperative complications of the total incidence of significantly lower than the control group, the difference was statistically significant （ P 〈 0.05 ）. But in terms of incision infection and urinary reten- tion, there was no statistically significant difference （P stl30. 05 ） ; Two groups of patients with postoperative recurrence compared differences statistically significant （ P 〈 0.05 ）. Conclusions Open peritoneal clearance before repair for the treatment of inguinal hernia of shorter operation time and patients recover faster, less pain, And the incidence of compli- cations and the relapse rate is lower.
出处
《航空航天医学杂志》
2015年第5期562-564,共3页
Journal of Aerospace medicine
