无张力疝修补术临床分析及常见并发症的处理.docVIP

精品论文 参考文献 无张力疝修补术临床分析及常见并发症的处理 罗卿 核工业四一七医院外１科　陕西　西安　７１００００ 　　【摘要】　目的　分析平片式无张力疝修补术治疗腹股沟疝的临床疗效及并发症发生情况,并对比传统缝合修复术.方法　选取１９６例腹股沟疝患者作为研究对象,其中１１２例患者采取平片式无张力疝修补术治疗,作为观察组;此外,观察组采取常见并发症的处理措施,预防并发症发生;８４例患者采取传统缝合修复术治疗,作为对照组;对比两组患者的手术时间、术后恢复时间、术后VAS指数、复发情况及常见并发症发生情况,综合评价患者的临床疗效.结果　观察组手术时间、术后恢复时间均显著短于对照组,术后VAS指数、复发率均显著小于对照组;均具有显著性差异(P＜０．０５);两组患者的常见并发症切口感染、腹股沟区疼痛、血清肿、神经感觉异常及阴囊水肿,观察组切口感染、腹股沟区疼痛、血清肿、神经感觉异常及阴囊水肿的发生率均显著小于对照组;具有显著性差异(P＜０．０５).结论　平片式无张力疝修补术治疗腹股沟疝的临床疗效确切,具有创伤性小、手术时间短、术后恢复快及复发风险小等优点,需术前应用预防性抗生素,及时处理血清肿、阴囊水肿,应用止痛药物,进一步预防常见并发症发生. 【关键词】　无张力疝修补术;　腹股沟疝;　并发症【Abstract】Objective:Toanalyzetheefficacyandcomplicationsofflatsheettension－freeherniarepairofinguinalherniaoccurrence,andcomparedtotradiＧtionalsuturerepair．Methods:１９６casesofinguinalherniapatientsforthestudy,ofwhich１１２patientstakingplainfilmtension－freeherniarepairtreatment,astheobservationgroup;inaddition,theobservationgrouptakeactioncommoncomplications,preventionofcomplications;８４casesTraditionalsuturerepairpaＧtientstotaketreatment,asacontrolgroup;comparedtwogroupsofpatientswithoperativetime,postoperativerecoverytime,postoperativeVASindex,recurＧrenceandcomplicationswerecommon,comprehensiveevaluationofthepatient＇sclinicalefficacy．Results:Theoperativetime,postoperativerecoverytimeissigＧnificantlyshorterthanthecontrolgroup,postoperativeVASindex,therecurrenceratewassignificantlylowerthanthecontrolgroup;thereweresignificantdifferences(P ＜０．０５);acommoncomplicationoftheincisiontwogroupsofpatientsinfection,groinpain,seroma,nerveparesthesiaandscrotaledema,theobＧservationgroupwoundinfection,groinpain,seroma,nerveparesthesiaandscrotaledemaweresignificantlylowerthanthecontrolgroup;asignificantdifference(P ＜０．０５)．Conclusion:Theclinicalefficacyofplainfilmtension－freeherniarepairinguinalherniaexact,withtraumaticsmall,shorteroperativetime,rapidpostoperativerecoveryandrecurrencerisketc,prophylacticantibioticsbeforesurgeryneedtimelyprocessingseromascrotaledema,applicationofpainmedicaＧtion,andfurtherpreventionofcommoncomplications．【Keywor