腹膜前间隙无张力疝修补术治疗老年疝气患者的临床效果分析

Clinical effect of preperitoneal tension-free herniorrhaphyin the treatment of herniain the elderly

目的探讨腹膜前间隙无张力疝修补术治疗老年疝气患者的临床效果。方法对北京市回民医院2015年3月至2019年10月收治的80例老年疝气患者临床资料进行回顾性分析,其中38例行平片式无张力疝修补术,42例接受腹膜前间隙无张力疝修补术,对比分析两组患者的临床疗效和手术指标。结果相比平片式无张力疝修补术组,腹膜前间隙无张力疝修补组患者手术出血量少,手术时间、下地活动时间、住院时间更短,差异有显著性(P值分别为0.015、0.004、0.006、0.012);两组患者术后疼痛比较无显著差异(P>0.05)。两组患者术后均未发生严重术后并发症,随访期间疾病均无复发。结论腹膜前间隙疝修补术明显优于平片式无张力疝修补术,手术时间短,术后恢复快,安全可靠,不增加并发症与复发风险。

Objective To investigate the clinical effect of preperitoneal tension-free herniorrhaphy on hernia in the elderly.Method The clinical data of 80 elderly hernia patients treated in Beijing Huimin Hospital from March 2015 to October 2019 were analyzed retrospectively.38 cases underwent tension-free mesh repair and 42 cases underwent preperitoneal tension-free herniorrhaphy.The clinical efficacy and surgical data's of the two groups were compared and analyzed.Result Compared with the flat tension-free mesh repair group,the patients in the preperitoneal tension-free herniorrhaphy group had less bleeding,shorter operation time,recovery time and hospital stay,and the difference was significant(P were 0.015,0.004,0.006 and 0.012,respectively).There was no significant difference in postoperative pain between the two groups(P>0.05).No serious postoperative complications occurred in the two groups,and there was no recurrence during the follow-up period.Conclusion Preperitoneal tension-free herniorrhaphy has better clinical effect than tension-free mesh repair on operation time,postoperative recovery.The therapeutic effect is safe and reliable,does not increase the probability of complications and recurrence.