无张力修补术和传统手术治疗腹外疝的临床效果对比分析

Clinical Result Comparative Analysis of Tension- free Repair and Traditional Surgery in Treatment of Hernia

目的研究对比无张力修补术和传统手术治疗腹外疝的临床效果。方法选择我院自2014年1月至2015年1月收治的60例腹外疝患者作为研究对象,按照随机对照原则将其分为观察组与对照组各30例,其中观察组患者给予无张力修补手术治疗,对照组患者则给予传统手术进行修补。对两组患者的临床手术治疗效果进行对比。结果在平均手术时间、平均住院时间、平均术后活动时间及术后并发症发生率等方面对比,观察组患者均明显低于对照组(P<0.05),差异具有统计学意义。观察组与对照组患者的平均治疗费用分别为2 000.8元和2 069.4元,差异不明显(P>0.05),不具统计学意义。结论无张力疝修补术是目前临床较为常用的手术方式,具有手术时间短、术后恢复快、术后并发症发生率低等优点,是临床治疗腹外疝的安全有效方法,具有更加广泛推广应用的价值。

Objective To study and compare the clinical effects of tension - free repair and traditional surgery in the treatment of hernia. Methods From January 2014 to January 2015, 60 cases of patients with hernia in our hospital were selected as the research subjects. According to a randomized controlled principle, they were divided into observation group and control group, 30 cases in each group. The observation group was given tension - free repair surgery, while the patients in the control group were treated with tradition- al surgical repair. Clinical surgical effects of the two groups were compared. Results The observation group was significantly lower than the control group in terms of the mean operation time, the median length of hospital stay, the average postoperative activity time and postoperative complication rate, etc. The difference was statistically significant （P 〈 0. 05）. The average treatment cost of obser- vation group and the control group was 2 000. 8 Yuan and 2 069. 4 Yuan respectively, with no statistically significant difference （P 〉 O. 05）. Conclusion Tension - free hernia repair is a more commonly used surgical method, with the advantages of short operative time, rapid postoperative recovery and low postoperative complication rate. It is clinically safe and effective, well worthy to be more widely applied and popularized.