改进无张力疝修补手术治疗腹外疝的临床疗效观察

Clinical observation of improved tension-free hernia repair for abdominal hernia

目的:观察改进无张力疝修补手术治疗腹外疝的临床疗效。方法:随机选取我院2015年9月-2018年9月期间收治的98例腹外疝患者作为本次观察对象,依据奇偶分组法将98例患者分成对照组和观察组各49例,给予对照组患者传统疝修补术治疗,给予观察组患者改进无张力疝修补手术治疗,对比两组患者手术治疗效果。结果:治疗后观察组患者手术时间、24小时内出血量、肠鸣音恢复时间、排便时间、术后下床时间及住院时间与对照组相比均较少,组间数据对比差异存在可比性(P<0.05);同时观察组患者并发症发生率及复发率也均明显低于对照组,经计算组间数据差异存在统计学意义(P<0.05);观察组患者生活质量也显著高于对照组,两组之间数据差异经计算后发现(P<0.05),统计学意义存在。结论:对腹外疝患者采用改进无张力疝修补手术治疗,其手术时间较短,使患者24小时内出血量明显减少,降低患者术后并发症发生率及复发率,从而提高患者身体恢复速度,缩短患者住院时间,使患者的生活质量得到良好改善。

Objective:To observe the clinical effect of improved tension-free hernia repair for abdominal hernia.Methods:A total of 98 patients with abdominal hernia who were admitted to our hospital from September 2015 to September2018,were randomly selected.According to the odd-even group method,98 patients were divided into control group and observation group,49 cases each.The patients were treated with traditional hernia repair,and the patients in the observation group were treated with improved tension-free hernia repair.The surgical treatment effects of the two groups were compared.Result:After treatment,the operation time,the amount of bleeding within 24 hours,the recovery time of bowel sounds,the time of defecation,the time of going to bed,and the length of hospital stay were less than those in the control group.There was comparability in the comparison between the groups.P<0.05);The incidence of complications and recurrence rate in the observation group were also significantly lower than those in the control group.There was statistically significant difference between the calculated groups(P<0.05).The quality of life of the observation group was also significantly higher than that of the control group.Group,the data difference between the two groups was calculated and found(P<0.05),statistically significant.Conclusion:The patients with abdominal hernia are treated with improved tension-free hernia repair.The operation time is shorter,which reduces the amount of bleeding within 24 hours,reduces the incidence of postoperative complications and the recurrence rate,thus improving the recovery rate of patients.Shorten the length of hospital stay and improve the quality of life of patients.