无张力疝修补与传统疝修补术治疗腹外疝的临床对比研究.DOCVIP

临床医学论文-无张力疝修补与传统疝修补术治疗腹外疝的临床对比研究 ??????????作者：何建军，许克勤，汤建华，刘常岳，李宗浩， ?????? 文霞初，刘及时，? 朱文胜，蔡银忠，张建凯，吴闽华 ［摘要］? 目的? 探讨无张力疝修补术治疗腹外疝的临床效果。方法? 回顾分析2003年7月~2005年12月无张力疝修补78例（A组），传统疝修补417例（B组），对比分析两组临床资料。结果? （1）平均手术时间：A组50 min，B组61 min；两组差异无显著性（χ2=3.0356，P0.05）；（2）平均住院日：A组4.3天，B组9.1天，两组差异有显著性（χ2=10.5996，P0.005）；（3）平均医疗费用：A组3980.2元，除外材料费2000.2元，B组2097.13元，两组差异无显著性（χ2=2.056，P0.05）；（4）平均术后下床活动时间：A组12.4 h，B组192.4 h，两组差异有显著性(χ2=11.3459，P0.005)；（5）平均术后恢复日常活动时间：A组4天，B组59天，两组差异有显著性（χ2=13.1575，P0.005）；（6）术后并发症：A组29.5%，B组57.3%，两组差异有显著性（χ2=19.3209，P0.005）；（7）术后复发：A组1.17%，B组18.0%，两组差异有显著性（χ2=5.002，P0.05）。结论? 腹外疝无张力疝修补平均手术时间、除外修补材料的平均医疗费用与传统疝修补相等；平均住院日、平均术后下床活动时间、平均术后恢复日常活动时间、术后并发症及术后复发率明显低于传统疝修补术；降低修补材料费后无张力疝修补术是治疗中老年腹外疝、复发疝及有并发症的腹外疝的最佳术式。 　［关键词］? 无张力修补；传统修补；腹外疝；外科手术 ?　?? Clinical comparison on tension-free hernioplasty with traditional hernioplasty in treating abdominal outer hernia ??? ??? ［Abstract］? Objective? To evaluate the clinical effect of tension-free hernioplasty in treatment of abdominal outer hernia.Methods? Clinical data of 78 cases with tension-free hernioplasty (A group) and 417 cases with traditional hernioplasty (B group) in the patients with abdominal outer hernia from July 2003 to December 2005 were analyzed retrospectively.Results? (1)A group were 50 min and B group were 61 min for average operation times,two groups were not have difference (χ2=3.0356，P0.05)；（2）A group were 4.3 d and B group were 9.1 d for average inpatient days,two groups were significant difference (χ2=10.5996,P0.05);(3)A group were 2000.2 yuan (subtraction material cost) and B group were 2097.13 yuan for average expenses,two groups have not difference (χ2=2.0561,P0.05);(4)A group were 12.4 h and B groups were 192.4 h for average times of bed down move after operation,two groups were significant difference (χ2=11.3459,P0.005);(5)A group were 4 d and B group were 59 d for average times of resume everyday move after operation,two groups were significant difference (χ2=13.1575,P0.005);(6)A group were