下腹部横切口无张力疝修补术治疗成人腹股沟疝的临床效果

Clinical effect of tension free hernia repair through transverse incision of lower abdomen in treatment of adult inguinal hernia

目的探讨下腹部横切口无张力疝修补术与传统开放式无张力疝修补术治疗成人腹股沟疝的临床效果。方法选取2014年1月~2016年12月我院收治的83例腹股沟疝患者作为研究对象,采用随机数字表法将其分为对照组41例与观察组42例,观察组患者行下腹部横切口无张力疝修补术,对照组行传统开放式无张力疝修补术,记录两组患者的手术时间、术后出血量、住院时间;记录两组患者术后伤口愈合情况。结果观察组患者的手术时间及住院时间显著短于对照组,术后出血量显著减少于对照组,差异均有统计学意义(P<0.05)。观察组患者的术后伤口愈合情况优于对照组,差异均有统计学意义(P<0.05)。结论下腹部横切口无张力疝修补术皮肤瘢痕少,创伤小,可缩短手术时间及术后住院时间,减少术后出血量,利于术后切口恢复,值得临床推广。

Objective To investigate the clinical effect of tension-free hernia repair of the lower abdomen transverse incision and traditional open tension-free hernia repair in the treatment of adult inguinal hernia.Methods A total of 83 patients with inguinal hernia admitted to our hospital from January 2014 to December 2016 were selected as research objects,and were divided into control group（41 cases） and observation group（42 cases） by random number table method.Patients in observation group were treated with tension-free hernioplasty of transverse incision of lower abdomen,while patients in control group were treated with traditional open tension-free hernioplasty,and the two groups were recorded,including operation time,postoperative bleeding amount and hospitalization time.The postoperative wound healing of two groups of patients was recorded.Results The operation time and hospitalization time of patients in the observation group were significantly shorter than those in the control group,and the postoperative bleeding volume was significantly reduced compared with that in the control group,the difference was statistical significance（P〈0.05）.The healing rate of patients in the observation group was better than that of the control group,the difference was statistically significant（P〈0.05）.Conclusion Tension-free hernioplasty of transverse incision in lower abdomen has less skin scar and less trauma,which can shorten the operation time and postoperative hospital stay, reduce postoperative bleeding, facilitate the postoperative incision recovery, and is worthy of clinical promotion.