摘要
目的 分析成人腹股沟疝小切口和腔镜无张力修补手术的效果,探索成人腹股沟疝小切口修补手术在临床上的应用价值。方法 方便选取龙岩市第二医院2020年7月—2021年7月收治的成人腹股沟疝患者79例作为研究对象,按照随机数表法将患者分为观察组(40例)和对照组(39例)。对照组采用小切口无张力修补手术方式,观察组采用腔镜修补手术方式,比较两组患者在临床疗效上的效果。结果 观察组手术时间(74.86±24.39)min、手术出血量(1.36±0.95)mL、住院时间(6.87±1.63)d、住院费用(5 478.82±1 268.22)元、术后恢复时间(5.58±0.98)d、术后疼痛的评分(1.05±0.23)分,均低于对照组,差异有统计学意义(t=4.946、16.803、2.619、4.643、40.340、42.907,P<0.05)。观察组并发症发生率(5.00%)低于对照组,差异有统计学意义(χ^(2)=5.384,P=0.020)。观察组腹股沟异物感消失时间(27.41±4.69)d、腹股沟硬结消失时间(36.31±6.69)d、腹股沟麻木感消失时间(40.71±9.19)d均短于对照组,差异有统计学意义(t=12.197、11.854、2.289,P<0.05)。两组股静脉血栓发生率和疝复发率对比,差异无统计学意义(χ^(2)=1.434、2.451,P=0.230、0.117)。观察组患者治疗满意度(97.50%)明显优于对照组(76.92%),差异有统计学意义(χ^(2)=5.816,P=0.016)。结论 为成人腹股沟疝的患者执行腔镜修补手术效果非常理想的。
Objective To analyze the effect of mini-incision and endoscopic tension-free repair for adult inguinal hernia,and explore the clinical application value of mini-incision repair for adult inguinal hernia.Methods 79 adult patients with inguinal hernia admitted to Longyan Second Hospital from July 2020 to July 2021 were randly selected as the research object and divided into the observation group(40 cases)and the control group(39 cases)according to the method of random number table.The control group was treated with small incision tension-free repair surgery,and the observation group was treated with endoscopic repair surgery.The clinical efficacy of the two groups was compared.Results The operation time(74.86±24.39)min,operation bleeding(1.36±0.95)mL,hospitalization time(6.87±1.63)d,hospitalization cost(5478.82±1268.22)yuan,postoperative recovery time(5.58±0.98)d,postoperative pain score(1.05±0.23)in the observation group were lower than those in the control group,and the difference was statistically significant(t=4.946,16.803,2.619,4.643,40.340,42.907,P<0.05).The incidence of complications in the observation group(5.00%)was lower than that in the control group,and the difference was statistically significant(χ^(2)=5.384,P=0.020).The disappearance time of inguinal foreign body sensation(27.41±4.69)d,inguinal induration(36.31±6.69)d,and inguinal numbness(40.71±9.19)d in the observation group were shorter than that in the control group,and the difference was statistically significant(t=12.197,11.854,2.289,P<0.05);there was statistically no statistically significant difference in the incidence of femoral vein thrombosis and the recurrence rate of hernia between the two groups(χ^(2)=1.434,2.451,P=0.230,0.117).The treatment satisfaction of patients in the observation group(97.50%)was significantly better than that in the control group,the difference was statistically significant(χ^(2)=5.816,P=0.016).Con⁃clusion Endoscopic repair for adult inguinal hernia is very ideal.
作者
赖扬城
LAI Yangcheng(Department of Gastroenterology,Longyan Second Hospital,Longyan,Fujian Province,364030 China)
出处
《中外医疗》
2022年第35期78-81,86,共5页
China & Foreign Medical Treatment
