老年嵌顿性疝行无张力疝修补术治疗的有效性评价

Effectiveness evaluation of tension-free herniorrhaphy for incarcerated hernia in elderly patients

目的探讨老年嵌顿性疝行无张力疝修补术治疗的有效性。方法 46例老年嵌顿性疝患者,根据术式不同分为对照组和观察组,每组23例。对照组患者行传统手术治疗,观察组患者行无张力疝修补术治疗。比较两组患者手术效果、手术出血总量、手术时间、下床时间、出院时间、手术前后健康调查简表(SF-36)评分及并发症发生情况。结果观察组患者手术总有效率为100.00%,高于对照组的69.57%,差异具有统计学意义(P<0.05)。手术前,两组患者SF-36评分比较差异无统计学意义(P>0.05);手术后,观察组患者SF-36评分高于对照组,差异具有统计学意义(P<0.05)。观察组手术出血总量少于对照组,下床活动时间早于对照组,手术时间、出院时间短于对照组,差异具有统计学意义(P<0.05)。观察组并发症发生率为4.35%,低于对照组的26.09%,差异具有统计学意义(P<0.05)。结论老年嵌顿性疝患者行无张力疝修补术疗效非常理想,可改善患者生存质量,减少创伤,缩短恢复时间,减少并发症的发生。

Objective To discuss the effectiveness evaluation of tension-free herniorrhaphy for incarcerated hernia in elderly patients. Methods A total of 46 elderly patients with incarcerated hernia were divided by different surgical methods into control group and observation group, with 23 cases in each group. The control group was treated with traditional surgery, and the observation group was treated with tension-free herniorrhaphy. Comparison were made on surgical effect, surgical bleeding volume, oepration time, off-bed time, discharge time, preoperative and postoperative health survey short form（SF-36） score and complications between the two groups. Results The total effective rate of the observation group was 100.00%, which was higher than 69.57% in the control group, and the difference was statistically significant（P〈0.05）. Before operation, there was no statistically significant difference in SF-36 score（P〉0.05）. After operation, the SF-36 score in the observation group was higher than that of the control group, and the difference was statistically significant（P〈0.05）. The observation group had less surgical bleeding volume than the control group, earlier off-bed activity time than the control group, and shorter operation time and discharge time than the control group. Their difference was statistically significant（P〈0.05）. The observation group had lower incidence of complications as 4.35% than 26.09% in the control group, and the difference was statistically significant（P〈0.05）. Conclusion Tension-free hernioplasty for elderly patients with incarcerated hernia is very effective, and it can improve the quality of life, reduce trauma, shorten recovery time and reduce the occurrence of complications.