摘要
目的观察无张力修补术治疗老年腹股沟疝的临床疗效。方法选2011年8月至2015年8月番禺区化龙医院收治的95例老年腹股沟疝患者为研究对象。根据临床手术方式不同分成研究组(49例)和常规组(46例);常规组行传统疝修补术,研究组行疝无张力修补术,对两组临床手术情况和手术效果进行比较分析。结果研究组的手术时间、术后下床时间、住院时间及术后VAS评分均要低于常规组,差异有统计意义(P<0.05);术后研究组并发症发生率为3.2%,低于常规组8.4%,差异有统计意义(P<0.05);术后随访12个月,研究组无复发病例,常规组复发3例(6.5%),差异有统计意义(P<0.05)。结论无张力疝修补术治疗老年腹股沟疝的效果满意,术后恢复快,并发症少,安全性高。
Objective To observe the clinical efficacy of tension-free hernioplasty for inguinal hernia in elderly patients. Methods From August 2015 to January 2016, 95 cases of elderly patients with inguinal hernia in our hospital were received surgery treatment. According to clinical operation methods, the patients were divided into two groups, study group （49 cases） and conventional group （46 cases）; conventional group implemented traditional hernia repair treatment, study group underwent hernia tension-free repair treatment. Clinical efficacy of two groups was compared. Results In study group, operative time, bed time, hospital stay, Postoperative VAS score were shorter than the conventional group, the difference was statistically significant （P〈0.05）; postoperative complications in study group was 3.2%, and in conventional group was 8.4%, there was significant difference （P〈0.05）. All patients were followed up for 12 months, there was no recurrence in study group, while 3 cases of recurrence in conventional group （6.5%）, there was statistically significant （P〈0.05）. Conclusion In elderly inguinal hernia, hernia tension-free repair has better effect, rapid postoperative recovery, fewer complications, higher security.
出处
《临床普外科电子杂志》
2017年第1期13-16,共4页
Journal of General Surgery for Clinicians(Electronic Version)
关键词
老年患者
腹股沟疝
无张力修补术
Elderly patients
Inguinal hernia
Tension-free repair
