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开放式完全腹膜外疝修补术与无张力疝修补术治疗腹股沟疝的临床效果比较 被引量:7

Comparison of Clinical Effect Between Open Total Extraperitoneal Herniorrhaphy and Tension-free Herniorrhaphy in the Treatment of Inguinal Hernia
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摘要 目的:分析在治疗腹股沟疝中应用不同手术方式的治疗效果。方法:选取2014年6月-2019年7月笔者所在医院收治的130例腹股沟疝患者为研究对象,根据手术方式的不同将其分为两组,每组65例。对照组给予无张力疝修补术治疗,观察组给予开放式完全腹膜外疝修补术治疗。比较两组治疗效果。结果:观察组手术时间短于对照组,术后下床活动时间早于对照组,且术中出血量显著少于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为6.2%,显著低于对照组的18.5%,差异有统计学意义(P<0.05)。观察组术后疼痛评分为(3.5±1.1)分,显著低于对照组的(6.0±1.2)分,差异有统计学意义(P<0.05)。结论:开放式完全腹膜外疝修补术治疗腹股沟疝的临床效果显著,值得推广。 Objective:To analyze the effects of different surgical methods in the treatment of inguinal hernia.Method:A total of 130 patients with inguinal hernia admitted in our hospital from June 2014 to July 2019 were selected as the study objects.According to the different surgical treatment methods,they were divided into two groups,with 65 case in each group.The control group was treated with tension-free herniorrhaphy,the observation group was treated with open total extraperitoneal herniorrhaphy.The treatment effect of the two groups was compared.Result:The operation time of the observation group was shorter than that of the control group,the postoperative getting out of bed activity time was earlier than that of the control group,and the amount of intraoperative bleeding was significantly less than that of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 6.2%,which was significantly lower than 18.5%in the control group,the difference was statistically significant(P<0.05).The postoperative pain score of the observation group was(3.5±1.1)points,which was significantly lower than(6.0±1.2)points of the control group,the difference was statistically significant(P<0.05).Conclusion:The clinical effect of open total extraperitoneal herniorrhaphy for inguinal hernia is significant and worth popularizing.
作者 尹锡洲 陈淑芳 丁胜文 殷容暖 YIN Xizhou;CHEN Shufang;DING Shengwen;YIN Rongnuan(Dongguan East Central Hospital,Dongguan 523573,China)
出处 《中外医学研究》 2020年第7期136-138,共3页 CHINESE AND FOREIGN MEDICAL RESEARCH
关键词 腹股沟疝 疗效 无张力疝修补术 开放式完全腹膜外疝修补术 Inguinal hernia Effect Tension-free herniorrhaphy Open total extraperitoneal herniorrhaphy
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