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横断并关闭远端疝囊对术后血清肿的影响

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目的:探讨横断并关闭远端疝囊对术后血清肿的影响。方法:选取 2022年 8月—2023年 12月乌鲁木齐市米东区中医医院收治的 50例腹股沟斜疝患者为研究对象,按照随机数字表法将患者分为对照组与试验组,每组25例。对照组行完整剥离远端疝囊,试验组行横断并关闭远端疝囊。比较两组的围手术期指标、近期与远期并发症发生情况。结果:两组手术时间、术中出血量及术后住院时间对比,差异均无统计学意义(P>0。05)。试验组近期并发症中的术后血清肿发生率为 4。00%,低于对照组的 32。00%,远期并发症中的异物感发生率为 4。00%,低于对照组的 32。00%,差异均有统计学意义(P<0。05)。结论:术中横断并关闭远端疝囊的处理方式较完整剥离远端疝囊,术后血清肿和异物感发生率明显降低,安全性高,具有一定的应用价值。
Analysis of the Effect of Transsection and Closure of Distal Hernia Sac on Postoperative Serum Swelling
Objective:To investigate the effect of transsection and closure of distal hernia sac on postoperative serum swelling.Methods:Fifty patients with oblique inguinal hernia treated in Urumqi Midong Distnict Hospital of Traditional Chinese Medicine from August 2022 to December 2023 were selected as the study objects,and were divided into a control group and an experimental group according to random number table method,with 25 cases in each group.The control group underwent complete dissection of the distal hernia sac,and the experimental group underwent transsection and closure of the distal hernia sac.The perioperative indexes and the occurrence of short-term and long-term complications were compared between the two groups.Results:There were no significant differences in operation time,intraoperative blood loss and postoperative hospital stay between the two groups(P>0.05).The incidence of postoperative seroma in the experimental group was 4.00%,which was lower than 32.00%in the control group in the short term complications,and the incidence of foreign body sensation in the long term complications was 4.00%,which was lower than 32.00%in the control group,with statistical significance(P<0.05).Conclusion:Compared with complete dissection of the distal hernia sac,the transsection,and closure of the distal hernia sac during the operation significantly reduces the probability of postoperative seroma and foreign body sensation,which can alleviate trauma,have high safety and have certain application value.

Oblique inguinal herniaDistal herniation sac transectionSeroma

张海明

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新疆维吾尔自治区乌鲁木齐市米东区中医医院普外科,新疆 乌鲁木齐 831400

腹股沟斜疝 远端疝囊横断术 血清肿

乌鲁木齐市卫生健康委科技项目

202266

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(13)