摘要
目的探讨传统疝修补术与无张力疝修补术后慢性疼痛的原因及治疗措施。方法78例腹股沟疝患者,根据治疗方案的不同分为研究组和常规组,每组39例。常规组采用传统疝修补术治疗,研究组采用无张力疝修补术治疗。比较两组患者治疗效果,术后慢性疼痛发生情况,并发症发生情况,术后视觉模拟评分法(VAS)评分。结果研究组治疗总有效率为97.44%,高于常规组的84.62%,差异具有统计学意义(P<0.05)。常规组术后出现慢性疼痛10例(25.64%),研究组术后出现慢性疼痛3例(7.69%),研究术后慢性疼痛发生率低于常规组,差异具有统计学意义(χ^(2)=4.5231,P=0.0334<0.05)。研究组患者的并发症发生率为5.13%,显著低于常规组的25.64%,差异具有统计学意义(P<0.05)。常规组术后VAS评分为(2.04±0.85)分,研究组术后VAS评分为(1.44±0.55)分;研究组术后VAS评分低于常规组,差异具有统计学意义(t=3.7010,P=0.0004<0.05)。结论腹股沟疝患者在临床治疗中实施无张力疝修补术治疗的效果显著,能够明显降低术后慢性疼痛的发生几率,经过对术后慢性疼痛发生原因进行分析后,两组均采取了相同的治疗方案,无张力疝修补术治疗中治疗时间更短,该手术方案值得推广。
Objective To discuss the causes and treatment of chronic pain after conventional hernia repair and tension-free hernia repair.Methods A total of 78 patients with inguinal hernia were divided into a research group and a conventional group according to different treatment schemes,with 39 cases in each group.The conventional group was treated with conventional hernia repair,and the research group was treated with tension-free hernia repair.The therapeutic results,occurrence of postoperative chronic pain,occurrence of complications,and the postoperative visual analogue scale(VAS)scores were compared between the two groups.Results The total effective rate of treatment in the research group was 97.44%,which was higher than 84.62%in the conventional group,and the difference was statistically significant(P<0.05).There were 10 cases(25.64%)of chronic pain after surgery in the conventional group,and 3 cases(7.69%)in the research group.The incidence of chronic pain after surgery in the research group was lower than that in the conventional group,and the difference was statistically significant(χ^(2)=4.5231,P=0.0334<0.05).The incidence of complications in the research group was 5.13%,which was significantly lower than 25.64%in the conventional group,and the difference was statistically significant(P<0.05).The postoperative VAS score was(2.04±0.85)points in the conventional group,and(1.44±0.55)points in the research group;the postoperative VAS score in the research group was lower than that in the conventional group,and the difference was statistically significant(t=3.7010,P=0.0004<0.05).Conclusion Tension-free hernioplasty has significant effect in the clinical treatment of patients with inguinal hernia,which can significantly reduce the probability of postoperative chronic pain.After analyzing the causes of postoperative chronic pain,the two groups have adopted the same treatment regimen.The treatment time of tension-free hernia repair is shorter,and this regimen is worth promoting.
作者
黄旭东
HUANG Xu-dong(Liaoyang Third People's Hospital,Shenyang 111000,China)
出处
《中国现代药物应用》
2023年第5期53-55,共3页
Chinese Journal of Modern Drug Application
关键词
传统疝修补术
无张力疝修补术
慢性疼痛
治疗效果
Conventional hernia repair
Tension-free hernia repair
Chronic pain
Therapeutic effect
