疝环充填式无张力疝修补术治疗成年人腹股沟疝的临床效果观察

Clinical effect of hernia ring filling tension-free hernia repair on adult inguinal hernia

目的:观察疝环充填式无张力疝修补术治疗成年人腹股沟疝的临床效果。方法:选择2016年3月至2019年3月在舟山市妇幼保健院住院手术治疗的成年腹股沟疝患者100例,按照随机数字表法对接受平片式无张力疝修补术及疝环充填式无张力疝修补术进行分组(对照组和研究组各50例),对组间的手术时间、住院时间、使用镇痛药患者比率、术后出现局部异物感患者比率、不良反应发生率(切口感染率、血清肿率、阴囊水肿率)指标进行对比。结果:研究组手术时间[(0.86±0.22)h]、住院时间[(5.11±1.56)d]均短于对照组[(1.44±0.76)h、(9.87±1.33)d](t=5.183、16.418,均P<0.05);且研究组使用镇痛药的比率(20.00%)、局部有异物感的比率(2.00%)、不良反应发生率(切口感染率:2.00%、血清肿率:4.00%、阴囊水肿率:2.00%)等指标均低于对照组(使用镇痛药患者比率、局部有异物感患者比率、切口感染率、血清肿率、阴囊水肿率分别为36.00%、18.00%、8.00%、10.00%、8.00%)(χ2=5.183、16.418、3.174、7.111、5.740,均P<0.05)。结论:在成年人腹股沟疝治疗中应用疝环充填式无张力疝修补术,可以缩短手术时间、住院时间、降低不良反应发生率。

Objective:To observe the clinical effect of hernia ring filling tension-free hernia repair on adult inguinal hernia.Methods:From March 2016 to March 2019,100 adult patients with inguinal hernia who received surgical treatment in Zhoushan Maternal and Child Health Hospital were divided into two groups according to the random number table method,with 50 cases in each group.The control group received the chip without tension hernia repair,and the study group received hernia ring filling type without tension hernia repair.The operation time,length of hospital stay,use of analgesic ratio,ratio of postoperative patients with local foreign body sensation,incidence of adverse reactions(incision infection rate,rate of seroma,scrotal edema rate)were compared between the two groups.Results:The operation time[(0.86±0.22)h]and hospital stay[(5.11±1.56)d]in the study group were shorter than those in the control group[(1.44±0.76)h and(9.87±1.33)d](t=5.183,16.418,all P<0.05).And the ratio of use analgesics(20.00%),the ratio of local foreign body sensation(2.00%),the incidence of adverse reactions(incision infection rate:2.00%,seroma rate:4.00%,scrotal edema rate:2.00%)and other indicators in the study group were lower than those in the control group(36.00%,18.00%,8.00%,10.00%,8.00%)(χ2=5.183,16.418,3.174,7.111,5.740,all P<0.05).Conclusion:Application of the hernia ring filling tension-free hernia repair in the treatment of adult inguinal hernia can shorten the operation time,hospital stay and decrease the incidence rate of adverse reactions.