网塞填塞修补术与网塞联合平片无张力修补术治疗腹股沟斜疝的对比分析

Comparative analysis of single open mesh plug repair and mesh plug combined patch tension-free repair in the treatment of indirect inguinal hernia

目的对比开腹网塞填塞修补术与网塞联合平片无张力修补术治疗腹股沟斜疝的疗效。方法选取2017年12月至2019年12月芜湖市第一人民医院收治的腹股沟斜疝患者120例,按照手术方式不同分为2组。对照组采用单一开腹网塞填塞修补术治疗,观察组则行网塞填充联合平片补片无张力修补术治疗,对比2组患者的术后康复指标及术后并发症和疝复发率。结果术后康复指标方面,观察组的肠蠕动恢复时间、正常活动恢复时间及住院时间均短于对照组,而术后1 d、7 d及1个月三个阶段的视觉模拟评分法均优于对照组,差异均有统计学意义(均P<0.05);观察组的术后并发症包括切口感染、异物感、阴囊积液、血肿、血清肿及尿潴留等发生率与对照组比较,差异无统计学意义(P>0.05);观察组疝复发率1.67%低于对照组6.67%,差异有统计学意义(P<0.05)。结论腹股沟斜疝患者治疗中应用网塞联合补片无张力修补术治疗较单一开腹网塞填塞修补术的疗效更为显著,可有效改善患者的术后康复指标,减轻患者痛苦,不增加术后并发症。

Objective To analyze and compare the efficacy of single open mesh plug repair and mesh plug combined mesh tension-free repair in the treatment of indirect inguinal hernia.Methods 120 patients with indirect inguinal hernia in Wuhu First People's Hospital from December 2017 to December 2019 were selected and divided into control group and observation group according to the operation method.The control group was treated with single open mesh plug repair,while the observation group was treated with mesh plug filling combined with plain patch tension-free repair was performed.The postoperative rehabilitation indicators,postoperative complications and hernia recurrence rate of the two groups were compared.Results In terms of postoperative rehabilitation indicators,the recovery time of intestinal peristalsis,recovery time of normal activities and hospitalization duration of the observation group were shorter than those of the control group(P<0.05),and visual analogue scale of the three stages of postoperative 1,7 d and 1 month were better than those of the control group(P<0.05).The incidence of postoperative complications in the observation group,including incision infection,foreign body sensation,scrotal effusion,hematoma,seroma and urinary retention,had no significant statistical differences compared with the control group(P>0.05).The incidence of hernia recurrence in the observation group was 1.67%lower than that in the control group(1.67%vs 6.67%,P<0.05).Conclusion In the treatment of patients with indirect inguinal hernia,the application of mesh plug combined with mesh mesh tension-free repair has a more significant curative effect than the single open mesh plug filling repair.It can effectively improve the postoperative rehabilitation indicators of patients,reduce the pain of patients,without increasing postoperative complications.