无张力疝修补术与传统疝修补术治疗腹股沟疝临床效果比较

Comparison of Clinical Effects between Tension-free Hernia Repair and Traditional Hernia Repair for Inguinal Hernia

目的比较无张力疝修补术与传统疝修补术治疗腹股沟疝临床效果。方法于2017年1月-2019年11月方便选择性纳入92例腹股沟疝患者,以"奇偶数字表"将纳入主体进行交叉分组,设置两组,每组例数均等,对照组(奇数46例):传统疝修补术,治疗组(偶数46例):无张力疝修补术,比较不同术式治疗效果。结果治疗组各项临床指标(手术时间、术后下床、住院时间,术中出血量)均优于对照组,差异有统计学意义(t=11.649、24.756、7.461、9.566,P<0.05);治疗组并发症发生率4.35%(2/46)低于对照组19.57%(9/46),差异有统计学意义(χ^2=5.060,P=0.024);治疗组术后疼痛评分(2.05±0.22)分、复发率2.17%(1/46)均低于对照组(4.21±0.38)分、15.22%(7/46),差异有统计学意义(P<0.05)。结论经研究发现,无张力疝修补术手术时间、术后下床时间、住院时间、术中出血量等临床指标均更优,并发症发生率较低,且术后疼痛程度较轻,复发率较低,与传统疝修补术相比,整体疗效确切,针对腹股沟疝患者,可选择无张力疝修补术进行治疗。

Objective To compare the clinical effects of tension-free hernia repair and traditional hernia repair in the treatment of inguinal hernia.Methods During the specific period of time from January 2017 to November 2019,92 patients with inguinal hernia were conveniently selected,and the subjects were cross-grouped by the"odd and even number table",and two groups were set up with equal number of cases in each group,control group(odd number 46 cases):traditional hernia repair,treatment group(even number 46 cases):tension-free hernia repair,to compare the effects of different surgical treatments.Results The clinical indicators(operation time,postoperative getting out of bed,hospitalization time,intraoperative blood loss)of the treatment group were better than those of the control group,and the difference was statistically significant(t=11.649,24.756,7.461,9.566,P<0.05);The incidence of complications in the treatment group was4.35%(2/46)lower than the control group 19.57%(9/46),the difference was statistically significant(χ^2=5.060,P=0.024);the postoperative pain score of the treatment group(2.05±0.22)points,the recurrence rate of 2.17%(1/46)were lower than the control group(4.21±0.38)points,15.22%(7/46),the difference was statistically significant(P<0.05).Conclusion The study found that clinical indicators such as tension-free hernia repair operation time,postoperative time to get out of bed,hospitalization time,intraoperative blood loss,etc.were better,the complication rate was lower,and the postoperative pain was less,and recurrence rate was lower;compared with traditional hernia repair,the overall curative effect was relatively lower.For patients with inguinal hernia,tension-free hernia repair can be selected for treatment.