疝环充填式无张力疝修补术对腹股沟疝患者术中出血量及并发症的影响

Influence of hernia⁃ring filling tension⁃free hernia repair on intraoperative bleeding and complications in patients with inguinal hernia

目的探讨在腹股沟疝患者中实施疝环充填式无张力疝修补术对术中出血量及并发症的影响。方法选择2018年1月—2019年3月在某医院进行治疗的96例腹股沟疝患者作为研究对象,随机分为对照组和观察组,各48例。对照组实施传统疝修补术,观察组采用疝环充填式无张力疝修补术,记录并发症、下床活动、住院及手术时间、术中出血量。结果观察组下床活动、住院及手术时间、术中出血量分别为(13.24±3.29)h、(6.35±2.31)d、(35.53±4.81)min、(80.34±5.15)mL,均优于对照组的(21.48±2.76)h、(9.64±2.47)d、(37.89±4.76)min、(84.61±5.29)mL,差异有统计学意义(P<0.05);观察组并发症发生率为8.33%,低于对照组的25.00%,差异有统计学意义(P<0.05)。结论在腹股沟疝患者中应用疝环充填式无张力疝修补术,可显著减少术中出血量,缩短术后恢复时间,降低并发症,利于患者转归。

Objective To investigate the influence of hernia⁃ring filling tension⁃free hernia repair on intraoperative bleeding and complications in patients with inguinal hernia.Methods A total of 96 patients with inguinal hernia treated in a hospital from January 2018 to March 2019 were randomly divided into a control group and a trial group with 48 cases each.The control group was treated with the traditional hernia repair,and the trial group was treated with hernia⁃ring filling tension⁃free hernia repair,recording complications,off⁃bed time,hospitalization time,operation time,and intraoperative bleeding volume.Results The off⁃bed time,hospitalization time,operation time,and intraoperative bleeding volume in the trial group were(13.24±3.29)hours,(6.35±2.31)days,(35.53±4.81)minutes,and(80.34±5.15)mL respectively,which were significantly shorter/less than those in the control group[(21.48±2.76)hours,(9.64±2.47)days,(37.89±4.76)min,and(84.61±5.29)mL],and the incidence of complications in the trial group was 8.33%,which was significantly less than that in the control group(25.00%,P<0.05).Conclusion The hernia⁃ring filling tension⁃free hernia repair in the treatment of patients with inguinal hernia can obviously reduce the intraoperative blooding,shorten the post⁃operative recovery time and reduce the complications,and is beneficial to the outcome of the patients.