摘要
目的：对比分析开放性经腹膜前隙疝修补术与传统疝修补术治疗腹股沟疝的临床疗效。方法将符合标准的200例腹股沟疝患者分成观察组（105例）和对照组（95例）两组，观察组患者给予开放性经腹膜前隙疝修补术进行治疗，对照组患者给予传统疝修补术进行治疗。结果观察组患者的手术时间、术中出血量与住院时间分别为（48．4±13．0）min、（25．6±4．5）mL 与（6．6±1．7）d，均显著优于与对照组的（63．3±11．2）min、（31．7±6．2）mL 与（8．6±2．4）d（P ＜0．05）。观察组患者在术后1 d 与3 d 的 VAS 评分分别为（3．6±0．5）分与（2．7±1．0）分，均显著低于对照组的（4．5±0．4）分与（3．6±1．2）分（P ＜0．05）。观察组患者复发、疼痛与发烧的发生率分别为2．9％、11．4％与6．7％，均显著低于对照组的11.6％、28．4％与17.9％（P ＜0．05）。结论开放性经腹膜前隙疝修补术是治疗腹股沟疝的一种有效手段，具有疼痛轻、恢复快、复发率低的优点，值得临床进行推广并进一步深入研究。
Objective To compare the effect of open herniorrhaphy through preperitoneal space and tradi-tional herniorrhaphy in the treatment of inguinal hernia.Methods 200 patients with inguinal hernia were divided into observation group（105 cases）and control group（95 cases）.The observation group received the treatment of open her-niorrhaphy through preperitoneal space,while the control group received the treatment of traditional herniorrhaphy. Results The operation time,intraoperative blood loss and length of hospital stay in the observation group were （48.4 ± 13.0）min,（25.6 ±4.5）mL and （6.6 ±1.7）d,which were significantly better than those in the control group [（63.3 ±11.2）min,（31.7 ±6.2）mL and （8.6 ±2.4）d,P〈0.05].The VAS scores of the observation group in 1d and 3d after the operation were （3.6 ±0.5）points and （2.7 ±1.0）points,which were significantly lower than those of the control group[（4.5 ±0.4）points,（3.6 ±1.2）points,P〈0.05].The incidence rates of recurrence,pain and fever in the observation group were 2.9%,11.4% and 6.7%,which were significantly lower than those of the control group （11.6%,28.4% and 17.9%,P〈0.05）.Conclusion Open herniorrhaphy through preperitoneal space is a kind of effective means in the treatment of inguinal hernia.It has the advantages of light pain,quick recovery and lower recurrence.It is worth clinical promotion and further study.
出处
《中国基层医药》
CAS
2015年第23期3607-3609,共3页
Chinese Journal of Primary Medicine and Pharmacy
关键词
疝
腹股沟
修复外科手术
Hernia,inguinal
Reconstructive surgiccd procedures
