两种造口旁疝修补术的临床效果比较

Comparison of clinical effect of two kinds of parastostomy hernia repair

目的分析造口原位腹膜前修补术与腹腔镜Sugarbaker术治疗造口旁疝的临床效果。方法回顾性分析2017年1月至2022年4月60例行造口旁疝修补术患者的临床病例.根据术式不同分为两组,各30例。观察组行造口原位腹膜前修补术,对照组行腹腔镜Sugarbaker术。数据分析均采用SPSS22.0软件完成,围手术期指标、疼痛评分及造口功能评分等计量资料采用(x±s)表示,组间比较行独立样本χ^(2)检验;术后并发症和复发率等计数资料组间比较行检验。P<0.05为差异有统计学意义。结果观察组首次排气时间、住院费用等优于对照组,但对照组术中出血量、引流管拔除时间优于观察组,差异有统计学意义(P<0.05);观察组患者术后1d.3 d疼痛评分显著低于对照组,术后7d造口功能评分显著高于对照组(P<0.05);两组患者并发症总发生率和复发率比较,差异无统计学意义(P>0.05)。结论相比腹腔镜Sugarbaker术,采用造口原位腹膜前修补术治疗造口旁疝,术后患者疼痛轻,肠道功能恢复快,造口功能更好,且减轻患者经济负担。

Objective To analyze the clinical effects of orthostomy preperitoneal repair and laparoscopic Sugarbaker in the treatment of parastostomy hernia.Methods Sixty patients who underwent parastostomy hernia repair from January 2017 to April 2022 were retrospectively analyzed and divided into two groups with 30 cases each according to different operation methods.The observation group underwent in situ preperitoneal repair and the control group underwent laparoscopic Sugarbaker operation.All data were analyzed using SPSS 22.0 software.Measurement data of perioperative indexes,pain scores and ostomy function scores were represented by(x±s),and independent χ^(2) test was performed for comparison between groups.The number of postoperative complications and recurrence rate were compared among the data groups by χ^(2) test.P<0.05 was considered statistically significant.Results The first exhaust time and hospitalization cost of the observation group were better than those of the control group,but the intraoperative blood loss and drainage tube removal time of the control group were better than those of the observation group,the difference was statistically significant(P<0.05).The pain scores of the observation group were significantly lower than those of the control group at 1 d and 3 d after surgery,and the ostomy function scores at 7 d after surgery were significantly higher than those of the control group(P<0.05).There was no significant difference in the total complication rate and recurrence rate between the two groups(P>0.05).Conclusion Compared with laparoscopic Sugarbaker,the treatment of parastostomy hernia with orthostomy preperitoneal repair results in less postoperative pain,faster recovery of intestinal function,better ostomy function,and less financial burden for patients.