无张力疝修补手术治疗成人疝气的疗效和术后并发症发生率分析

Analysis of the Efficacy and Incidence of Postoperative Complications of Tension-Free Hernia Repair in Adult Hernia

目的分析无张力疝修补术对成人疝气患者治疗效果,及对患者术后并发症情况的影响。方法挑选该院在2016年5月—2018年5月时间段收治的98例成人疝气患者为探究对象,通过结合患者入院尾号奇偶数作以分组,分为实验组和参照组每组49例。实验组施行无张力疝修补术,参照组施行传统修复术,比较两组的临床效果。结果实验组和对照组的治疗总有效率、并发症发生率、复发率分别为(91.84%、4.08%、4.08%) vs (77.55%、16.33%、20.41%);组间比较差异有统计学意义(χ2=3.857、4.009、6.077,P<0.05)。实验组的手术时间、术中出血量、术后首次下床活动时间、住院时间,与参照组对比差异有统计学意义(t=54.127、13.166、33.840、19.846,P<0.05)。结论成人疝气患者治疗中运用无张力疝修补术,可获得较好的临床效果,并确保患者治疗的安全性。

Objective To analyze the effect of tension-free hernia repair on adult hernia patients and its effect on postoperative complications.Methods 98 adult hernia patients admitted in the hospital during the period from May 2016 to May 2018 were selected as the research objects.By combining the odd and even numbers of patients at the end of admission,they were divided into experimental groups and reference groups.49 cases each.The tension-free hernia repair was performed in the experimental group,and the traditional repair was performed in the reference group to compare the clinical effects of the two groups.Results The total effective rate,complication rate,and recurrence rate of the experimental group and the control group were(91.84%,4.08%,4.08%)vs(77.55%,16.33%,20.41 %);between the groups the difference was statistically significant(χ2=3.857,4.009,6.077,P<0.05).Compared with the reference group,the operation time,intraoperative blood loss,postoperative first bed activity time,and hospitalization time in the experimental group were significantly from the reference group,the difference was statistically significant(t=54.127,13.166,33.840,19.846,P<0.05).Conclusion The application of tension-free hernia repair in the treatment of adult hernia patients can obtain better clinical results and ensure the safety of patient treatment.