腹股沟疝气不同手术治疗效果的临床分析.docVIP

精品论文 参考文献 腹股沟疝气不同手术治疗效果的临床分析 李海波 　　峨眉山市人民医院 四川乐山 614000 　　【摘 要】目的：对比分析疝环充填式手术和腹膜前间隙无张力修补术治疗腹股沟疝气的临床效果。方法：将我院收治的72例腹股沟疝患者随机分为观察组36例和对照组36例。观察组患者行腹膜前间隙无张力修补术治疗，对照组患者行疝环充填式手术治疗。观察并记录2组患者的手术时间、术中出血量、术后下地时间、术后疼痛程度（VAS评分）及住院时间；统计2组患者术后并发症的发生率；并随访观察患者的复发率。结果：2组患者的平均手术时间、术中出血量、术后下地时间及住院时间比较，差异均无统计学意义（P＞0.05），但观察组患者术后疼痛程度VAS评分低于对照组（P＜0.05）。观察组患者术后切口感染、阴囊血肿、异物感、慢性疼痛、尿潴留并发症的总发生率为11.12%，对照组为33.33%，2组比较，差异具有统计学意义（P＜0.05）。观察组患者术后12个月、18个月的复发率依次为0、2.78%，对照组依次为2.78%，5.56%，2组比较，差异均无统计学意义（P＜0.05）。结论：疝环充填式手术和腹膜前间隙无张力修补术在腹股沟疝气的临床治疗中均可取得良好的效果，但腹膜前间隙无张力修补术更具术后疼痛程度轻、并发症少等显著优势。 　　【关键词】腹股沟疝；疝环充填式手术；腹膜前间隙无张力修补术 　　【中图分类号】R656 【文献标识码】B 【文章编号】1674-8999（2015）8-0428-02 　　【Abstract】objective: to analysis the hernia ring filling type before surgery and peritoneal clearance without tension repair clinical effect for the treatment of inguinal hernia. Methods: our hospitalrsquo;s 72 cases of inguinal hernia patients were divided into the observation group (36 cases) and the control group (36 cases). The Observation group patients were treated by peritoneal clearance without tension repair before, the control group patients were treated by hernia ring filling type surgical. 2 group of patients with operation time, intraoperative blood loss, postoperative down time, degree of postoperative pain (VAS score) and length of hospital stay was statistics; Two groups the incidence of postoperative complications in patients was statistics; The recurrence rate was followed up observation were observed. Results: the patients of two groups of average operation time, intraoperative blood loss, postoperative down time and length of hospital stay, there were no statistically significant difference (P gt; 0.05), but the degree of observation group of patients with postoperative pain VAS score was lower than the control group (P lt; 0.05). Observation group of patients with postoperative incision infection, scrotal hematoma, foreign body sensation, chronic pain, urinary retention, the total incidence of compl