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不同手术方法治疗腹股沟疝气的临床分析

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目的:探讨腹股沟疝气患者采取不同手术治疗方法的临床治疗效果.方法:选取泉州东南医院普外科收治的100例腹股沟疝气患者(2017年3月~2022年3月)按照随机数表法分为对照组、观察组.对照组50例患者实施疝气无张力修补术治疗,观察组50例患者实施腹腔镜经腹腹膜前疝修补术(Laparoscopic transabdominal preperitoneal hernia repair,TAPP).观察手术指标、疼痛以及睡眠质量评分、并发症、复发率情况.结果:观察组术时(51.28±5.25)min、术中出血量(2.19±2.28)ml、下床活动时间(20.14±2.38)h、住院时间(4.34±1.13)d,较对照组更优(t=7.442,P=0.000).治疗前疼痛以及睡眠质量评分的对比(P>0.05),治疗后观察组疼痛、睡眠质量评分更低(P<0.05).观察组并发症更低,未出现复发情况,对比对照组复发率更低(P<0.05).结论:TAPP治疗腹股沟疝患者中,效果明显.
Objective:To explore the clinical treatment effects of different surgical methods on patients with inguinal hernia.Method:100 patients with inguinal hernia admitted to the General Surgery Department of Quanzhou Southeast Hospital(March 2017 to March 2022)were randomly divided into a control group and an observation group using a random number table method.50 patients in the control group underwent tension-free hernia repair surgery,while 50 patients in the observation group underwent Laparoscopic transabdominal preperitoneal hernia repair(TAPP).Observe surgical indicators,pain and sleep quality scores,complications,and recurrence rates.Result:The observation group had(51.28±5.25)minutes of surgery,(2.19±2.28)ml of intraoperative bleeding,(20.14±2.38)hours of ambulation time,and(4.34±1.13)days of hospitalization,which were better than the control group(t=7.442,P=0.000).The comparison of pain and sleep quality scores before treatment(P>0.05)showed that the observation group had lower pain and sleep quality scores after treatment(P<0.05).The observation group had lower complications and no recurrence,and the recurrence rate was lower compared to the control group(P<0.05).Conclusion:TAPP is effective in treating patients with inguinal hernia.

Tensionless hernia repair surgeryInguinal herniaClinical indicators

谢鸿铭

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泉州东南医院·福建泉州 362000

疝气无张力修补术 腹股沟疝气 临床指标

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(6)
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