老年腹股沟疝应用疝环充填式无张力疝修补术的临床价值

Clinical Value of Hernia Ring Filling Tension Free Hernia Repair in Elderly Patients With Inguinal Hernia

目的探讨疝环充填式无张力疝修补术治疗老年腹股沟疝的疗效。方法选取老年腹股沟疝患者112例随机分为两组,各56例。对照组行传统修补术治疗,观察组行疝环充填式无张力疝修补术治疗,比较两组患者的治疗效果。结果观察组手术时间(38.5±10.2)min、术中出血量(17.3±2.1)ml、住院时间(2.3±0.7)d、切口疼痛时间(1.8±0.4)d均少于对照组(47.6±11.7)min、(24.9±8.0)ml、(4.4±1.2)d、(2.9±0.7)d,P<0.05,差异具有统计学意义;下床时间(1.0±0.3)d、生活自理能力恢复时间(1.5±0.3)d均早于对照组(1.9±0.6)d、(2.2±0.6)d,P<0.05,差异具有统计学意义;术后镇痛用药率(0.0%)、复发率(0.0%)、并发症发生率(1.8%)均低于对照组(14.3%)、(8.9%)、(16.1%),P<0.05,差异具有统计学意义。结论疝环充填式无张力疝修补术是治疗老年腹股沟疝的有效方法。

Objective To explore the clinical effect on hernia ring iflling tension free hernia repair in elderly patients with inguinal hernia. Methods Selected 112 cases with inguinal hernia were divided into two groups randomly. The control group adopt traditional repair surgery, the observation group adopt hernia ring iflling tension free hernia repair surgery. compared therapeutic effect of two groups. Results The observation group’s operative time was（38.5±10.2）min, intraoperative bleeding volume was（17.3±2.1）ml, hospitalization time was（2.3±0.7）day, incision pain time was（1.8±0.4）day were less than the control group（47.6±11.7）min, （24.9±8.0）ml, （4.4±1.2） day, （2.9±0.7）day, P〈0.05, had difference statistically significance. the observation group get out of bed time（1.0±0.3）day, recovery time of self-care ability（1.5±0.3）day were earlier than the control group（1.9±0.6） day, （2.2±0.6）day, P〈0.05, had difference statistically significance. the observation group postoperative analgesic medication was（0.0%）, recurrence rate was（0.0%）, complication rate was （1.8%）lower than the control group （14.3%） , （8.9%） , （16.1%） , P〈0.05, had difference statistically signiifcance. Conclusion Hernia ring iflling tension free hernia repair surgery is an effective method in treatment of elderly patients with inguinal hernia.