无张力疝修补术治疗肾衰竭腹水并发腹股沟疝的临床疗效

Clinical effect of tension-free hernia repair in the treatment of ascites complicated with inguinal hernia in patients with renal failure

目的探究无张力疝修补术治疗肾衰竭腹水并发腹股沟疝的临床疗效。方法选取2016年5月至2018年1月,连云港市第一人民医院收治的肾衰竭腹水并发腹股沟疝患者60例。所有患者行无张力疝修补术,围手术期均行常规护理。观察并记录2组患者手术及术后情况。比较分析2组患者术后复发及并发症发生情况。结果60例腹股沟疝合并腹腔积液患者均顺利完成无张力疝修补术,手术时间(55.21±21.61)min,术后引流管拔除时间(3.20±1.01)d,术后住院时间(3.15±1.74)d;切口疼痛4例,术后切口轻度血清肿9例,阴囊肿胀4例,上述并发症经对症处理均好转出院。所有患者术后随访12个月,其中术后复发患者1例,其余患者术后均恢复较好。结论无张力疝修补术治疗肾衰竭腹水并发腹股沟疝安全可行,临床疗效较好。

Objective To explore the clinical effect of tension-free hernia repair in the treatment of inguinal hernia complicated with ascites of renal failure. Methods 60 patients with inguinal hernia complicated with ascites of renal failure From May 2016 to January 2018 in First people's hospital of Lianyungang, Xinhai hospital district were selected. All patients underwent tension-free hernia repair, routine nursing care was performed during perioperative period. The operation and postoperative situation of two groups of patients were observed and recorded. The recurrence and complications of patients compared in two groups. Results Tension-free hernia repair in 60 patients with inguinal hernia complicated with peritoneal effusion were successful. Operation time was (55.21±21.61) minutes, The extraction time of the postoperative drainage tube was (3.20±1.01) days, postoperative hospital stay was (3.15±1.74) days, 4 cases occurred incision pain, 9 cases occurred mild seroma of incision, 4 cases occurred scrotal swelling, all complications have been improved and discharged after symptomatic treatment. All patients were followed up for 12 months, one patient recurred. All the other patients recovered well after operation. Conclusion Tension-free hernia repair in the treatment of inguinal hernia complicated with ascites of renal failure is safe and feasible, and the clinical effect is good.