无张力修补术和传统手术治疗腹外疝的临床效果

Comparison of Clinical Effect of Tension-free Hernioplasty and Traditional Operation for External Hernia

目的:探究无张力修补术和传统手术治疗腹外疝的临床效果。方法:选取2018年1月—2021年1月安龙县人民医院收治的80例腹外疝患者为研究对象。根据随机数字表法分为对照组和研究组,各40例。对照组实施传统手术治疗,研究组实施无张力修补术治疗。比较两组疼痛程度、胃肠道功能恢复情况、并发症发生率、生活质量、治疗效果。结果:术后第1、3天,研究组视觉模拟评分法评分低于对照组,差异有统计学意义(P<0.001);研究组肠鸣音恢复、进食、肛门排便与住院时间均短于对照组,差异有统计学意义(P<0.001);研究组患者并发症发生率低于对照组,差异有统计学意义(P=0.031);出院前1 d,研究组健康调查简表评分高于对照组,差异有统计学意义(P<0.001)。结论:无张力修补术治疗腹外疝患者的临床效果更显著,可以预防手术应激反应,减少术后疼痛,降低并发症发生率,加快恢复速度,提高生活质量。

Objective:To explore the clinical effect of tension-free hernioplasty and traditional surgery for external abdominal hernia.Methods:A total of 80 patients with external abdominal hernia were selected at Anlong County People's Hospital from January 2018 to January 2021.They were divided into control group and research group according to the random number table method,with 40 cases in each group.The control group was treated with traditional surgery,and the research group was treated with tension-free repair.The degree of pain,recovery of gastrointestinal tract function,incidence of complications,quality of life and treatment effect were compared between the two groups.Results:On the 1st and 3rd day after operation,the visual analog scale score of the research group was lower than that of the control group,and the difference was statistically significant(P<0.001);the recovery of bowel sounds,eating,anal defecation and hospitalization time in the research group were shorter than those of the control group,the difference was statistically significant(P<0.001);the incidence of complications was lower in the research group than that of the control group,the difference was statistically significant(P=0.031);1 day before discharge,the score of the short form of health survey was higher in the research group than that of the control group group,the difference was statistically significant(P<0.001).Conclusion:The clinical effect of tension-free repair in patients with external abdominal hernia is more significant.It can prevent surgical stress reaction,reduce postoperative pain,reduce the incidence of complications,accelerate the recovery speed and improve the quality of life.