腹外疝患者应用无张力疝修补术治疗对其术中出血量及复发率的影响
Effect of Tension-free Hernia Repair on Intraoperative Blood Loss and Recurrence Rate in Patients with External Abdominal Hernia
李印虎 1赵德贞1
作者信息
- 1. 菏泽市中医医院外一科,山东菏泽 274000
- 折叠
摘要
目的 探究腹外疝患者应用无张力疝修补术治疗的效果.方法 回顾性选取2018年4月—2023年4月于菏泽市中医医院接受手术治疗的80例腹外疝患者的临床资料,根据不同的手术方式分为两组,各40例.对照组采用传统疝修补术,观察组采用无张力疝修补术.比较两组手术指标、炎性水平、疼痛感及复发率.结果 观察组手术相关指标优于对照组,差异有统计学意义(P＜0.05).术后3 d两组白细胞介素-10、C反应蛋白水平均升高,但观察组低于对照组,差异有统计学意义(P均＜0.05).观察组患者的术后当天、术后1、3 d疼痛评分均低于对照组,差异有统计学意义(P均＜0.05).观察组患者的复发率(0)及并发症发生率(2.50%)低于对照组(10.00%、15.00%),差异有统计学意义(χ2=4.211、3.914,P均＜0.05).结论 腹外疝患者应用无张力疝修补术对于降低术中出血量、稳定其血清炎症因子水平、缓解患者术后疼痛感、降低其复发率及并发症发生率的价值显著.
Abstract
Objective To explore the effect of tension-free hernia repair on patients with external abdominal hernia.Methods The clinical data of 80 patients with abdominal external hernia who received surgical treatment in Heze Hos-pital of Traditional Chinese Medicine from April 2018 to April 2023 were retrospectively selected.According to differ-ent surgical methods,they were divided into two groups,with 40 cases in each group.The control group was treated with traditional hernia repair,and the observation group was treated with tension-free hernia repair.The surgical indi-cators,inflammatory level,pain and recurrence rate were compared between the two groups.Results The operation re-lated indexes of the observation group were better than those of the control group,and the difference was statistically significant(P＜0.05).The levels of interleukin-10 and C-reactive protein in the two groups increased after operation,and the observation group was lower than the control group,and the differences were statistically significant(all P＜0.05).The pain scores of the observation group were lower than those of the control group on the day after surgery,1 and 3 d after surgery,and the differences were statistically significant(all P＜0.05).The recurrence rate(0)and compli-cation rate(2.50%)of the observation group were lower than those of the control group(10.00%,15.00%),the differ-ences were statistically significant(χ2=4.211,3.914,both P＜0.05).Conclusion Tension-free hernia repair in patients with external abdominal hernia has significant value in reducing intraoperative blood loss,stabilizing serum inflamma-tory factor levels,relieving postoperative pain,and reducing the recurrence rate and complication rate.
关键词
腹外疝/无张力疝修补术/术中出血量/炎症因子Key words
External abdominal hernia/Tension-free hernia repair/Intraoperative blood loss/Inflammatory factor引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据