无张力补片修补法用于疝气治疗的预后情况评定

Evaluation of Prognosis of Hernia Treatment with Tension-free Patch Repair

目的探讨无张力补片修补法用于疝气治疗的预后情况。方法纳入2016年1月—2018年1月92例疝气患者根据手术分组。传统疝修补手术治疗组开展传统疝修补手术,无张力补片修补手术治疗组开展无张力补片修补法。分析效果;手术耗时、住院耗时和下床行走时间;施术前后患者生存质量测评结果;施术过程和术后神经感觉损伤、血管损伤、伤口感染等的发生率。结果无张力补片修补手术治疗组效果相对传统疝修补手术治疗组更高﹙χ^2=7.023,P<0.05﹚。传统疝修补手术治疗组显效、有效、无效、总有效率分别是10例、20例、16例、65.22%,无张力补片修补手术治疗组显效、有效、无效、总有效率分别是38例、7例、1例、97.83%。施术前两组生存质量测评结果相似,差异无统计学意义﹙P>0.05﹚;施术后无张力补片修补手术治疗组生存质量测评结果优于传统疝修补手术治疗组﹙P<0.05﹚。无张力补片修补手术治疗组手术耗时、住院耗时和下床行走时间优于传统疝修补手术治疗组﹙P<0.05﹚。无张力补片修补手术治疗组施术过程和术后神经感觉损伤、血管损伤、切口感染等的发生率低于传统疝修补手术治疗组﹙P<0.05﹚。结论疝气患者行无张力补片修补法效果确切,可有效减轻手术创伤,减少并发症的发生,提高手术治疗效果,改善患者的生存质量,缩短住院的时间,临床值得推广应用。

Objective To investigate the prognosis of tension-free patch repair for hernia treatment. Methods From January 2016 to January 2018, 92 patients with hernia were grouped according to surgery. The traditional hernia repair surgery group performed traditional hernia repair surgery, and the tension-free patch repair surgery group performed tension-free patch repair. Analyze the effect;time spent on surgery, time spent in hospitalization and time spent walking out of bed;results of evaluation of quality of life before and after operation;incidence of neurological sensory injury, vascular injury, wound infection, etc. Results The effect of the tension-free patch repair group was higher than that of the conventional hernia repair group﹙χ^2=7.023, P<0.05﹚. The traditional sputum repair surgery group was effective, effective, ineffective, and the total effective rate was 10 cases, 20 cases, 16 cases, 65.22%, respectively. The tension-free patch repair surgery group was effective, effective, ineffective, and the total effective rate was 38 cases,7 cases,1 cases 97.83%. The results of life quality assessment before operation were similar, the difference was not statistically significant﹙P>0.05﹚. The results of quality of life in the treatment group without tension patch were better than those in traditional hernia repair group(P<0.05). In the tension-free patch repair surgery group, the operation time, hospitalization time and bed walking time were better than the traditional hernia repair surgery group ﹙P<0.05﹚. The incidence of neurological sensory injury, vascular injury, wound infection, etc. in the tension-free patch repair surgery group was lower than that in the conventional hernia repair surgery group﹙P<0.05﹚. Conclusion Tension-free patch repair in patients with hernia is effective, which can effectively reduce surgical trauma, reduce the incidence of complications, improve the surgical treatment, improve the quality of life of patients, shorten the length of hospitalization, and is worthy of popularization and application.