首页|疝环充填式无张力疝修补术治疗腹股沟疝气患者的效果及安全性

疝环充填式无张力疝修补术治疗腹股沟疝气患者的效果及安全性

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目的 探究疝环充填式无张力疝修补术治疗腹股沟疝气的效果及安全性.方法 选取 2020 年 2 月~2023 年 10 月我院收治的腹股沟疝气患者 82 例,根据不同治疗方式将其分为对照组和观察组,每组各 41 例.对照组接受传统疝修补术,观察组接受疝环充填式无张力疝修补术,对比两组相关手术指征[手术时间、术中出血量、首次下床活动时间]、术后恢复情况[疼痛持续时间、住院时间]、手术前后应激水平[皮质醇(Cor)、血管紧张素Ⅱ(Ang-Ⅱ)]和并发症发生率.结果 观察组手术时间、术中出血量、首次下床活动时间、疼痛持续时间、住院时间低于对照组(P<0.05);术前,Cor、Ang-Ⅱ对比无明显差异(P>0.05),术后,两组Cor、Ang-Ⅱ均有提升,观察组低于对照组,有显著差异(P<0.05);观察组、对照组并发症发生率分别为 4.88%、19.51%,观察组更低(P<0.05).结论 将疝环充填式无张力疝修补术应用于腹股沟疝气患者的治疗中,能降低术中出血量,缩短手术时间,促进患者术后恢复,减轻应激反应和并发症的发生风险,具有显著疗效及安全性.
Effect and Safety of Tension-free Hernioplasty with Hernia Ring Filling in Patients with Inguinal Hernia
Objective:To explore the effect and safety of tension-free hernioplasty with hernia ring filling in patients with inguinal hernia.Methods:A total of 82 patients with inguinal hernia admitted to our hospital from Febru-ary 2020 to October 2023 were selected,and were divided into the control group and the observation group according to different treatment methods,with 41 cases in each group.The control group received traditional hernia repair and the observation group received tension-free hernioplasty with hernia ring filling.The relevant surgical indications[opera-tion time,intraoperative blood loss,time of first ambulation],postoperative recovery[duration of pain,length of hospital stay],preoperative and postoperative stress levels[cortisol(Cor),angiotensin II(Ang-II)],and incidence of complica-tions were compared between the two groups.Results:The operation time,intraoperative blood loss,time of first ambu-lation,pain duration and hospital stay in the observation group were lower than those in the control group(P<0.05).Be-fore the operation,there was no significant difference between Cor and Ang-II(P>0.05).After the operation,Cor and Ang-II in both groups were increased,which were significantly lower in the observation group than those in the control group(P<0.05);The incidence of complications in the observation group and the control group was 4.88%and 19.51%,respectively,which was lower in the observation group(P<0.05).Conclusion:The application of tension-free hernio-plasty with hernia ring filling in the treatment of patients with inguinal hernia can reduce intraoperative blood loss,shorten operation time,promote postoperative recovery,alleviate stress response,and lower the risk of complications,demonstrating significant effect and safety.

hernia ring fillingtension-free hernioplastyinguinal herniacomplicationsstress level

严云希、罗芳、巫殷盛

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341400 江西南康,赣州市南康区中医院

疝环充 无张力疝修补术 腹股沟疝气 并发症 应激水平

2024

透析与人工器官
天津市泌尿外科研究所 中国生物医学工程学会人工器官分会

透析与人工器官

影响因子:0.809
ISSN:1005-0809
年,卷(期):2024.35(2)
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