摘要
目的分析运用疝气无张力修补术治疗老年腹股沟疝患者的效果以及疼痛情况。方法抽取2019年1月至2022年2月盐城市射阳县人民医院接受治疗的老年腹股沟疝患者65例作为研究对象,依据随机抽签法分为常规组(n=32,腹腔镜下疝气修补术治疗)和试验组(n=33,疝气无张力修补术治疗)。比较两组患者手术相关指标、疼痛情况以及并发症发生情况。结果两组患者的住院时间无显著差异(P>0.05),试验组患者术后下床排气时间短于常规组,住院费用低于常规组,差异均有显著性(P<0.05)。治疗前,两组疼痛评分比较差异无显著性(P>0.05);治疗后,试验组疼痛评分低于常规组(P<0.05)。试验组出现切口感染、尿潴留、阴囊血肿、下肢静脉血栓形成等并发症总发生率与常规组无显著差异(P>0.05)。结论应用疝气无张力修补术治疗老年腹股沟疝,效果较为显著,术后不良反应少,能缓解患者疼痛。
Objective To analyze the effect and pain of tension-free hernia repair in elderly patients with inguinal hernia.Method 65 elderly Patients with inguinal hernia who were treated in Sheyang County People's Hospital of Yancheng City from January 2019 to February 2022 were selected as the research objects.They were randomly divided into routine group(n=32,laparoscopic hernia repair)and experimental group(n=33,hernia tension-free repair).The operation related indexes,pain and complications were compared between the two groups.Result There was no significant difference in hospitalization time between the two groups(P>0.05).The time of getting out of bed and exhausting air in the experimental group was shorter than that in the conventional group,and the hospitalization cost was lower than that in the conventional group(P<0.05).Before treatment,there was no significant difference in pain scores between the two groups(P>0.05);After treatment,the pain score of the experimental group was lower than that of the routine group(P<0.05).The total incidence of incision infection,urinary retention,scrotal hematoma,lower extremity venous thrombosis and other complications in the experimental group was not significantly different from that in the conventional group(P>0.05).Conclusion Tension-free hernia repair is effective in the treatment of senile inguinal hernia with less postoperative adverse reactions and can relieve the pain of patients.
作者
董正山
DONG Zhengshan(General Surgery Department of Sheyang County People's Hospital,Yancheng City,Jiangsu Yancheng 224300,China)
出处
《临床普外科电子杂志》
2022年第3期134-136,153,共4页
Journal of General Surgery for Clinicians(Electronic Version)
关键词
腹股沟疝
疝气无张力修补术
疗效
老年
Inguinal hernia
Tension free hernia repair
Curative effect
Old age