首页|腹腔镜无张力疝修补术联合补中益气汤治疗腹股沟疝临床观察

腹腔镜无张力疝修补术联合补中益气汤治疗腹股沟疝临床观察

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目的 探讨应用腹腔镜无张力疝修补术联合补中益气汤治疗腹股沟疝的临床效果.方法 选择2020年1月-2021年12月的腹股沟疝患者90例作为观察对象,根据入院顺序随机分组,对照组(45例)接受单纯的腹腔镜无张力疝修补术治疗,研究组(45例)接受腹腔镜无张力疝修补术联合中药补中益气汤治疗,观察手术后两组的疼痛评分、住院时间、术后复发率及治疗前后中医证候评分.结果 手术后,研究组疼痛评分、住院时间及术后复发率均明显低于对照组,各项中医证候评分和总分明显优于对照组(P<0.05).两组患者术后并发症发生情况对比,差异无统计学意义(P>0.05).结论 针对腹股沟疝行腹腔镜无张力疝修补术联合补中益气汤治疗,可帮助患者有效缩短住院时间、缓解疼痛程度,并改善其中气不足表现、降低术后复发率,值得临床推广应用.
Laparoscopic Tension-free Hernioplasty Combined with Buzhong Yiqi Decoction in the Treatment of Inguinal Hernia
Objective To explore the clinical efficacy of laparoscopic tension-free hernioplasty combined with Buzhong Yiqi decoction in the treatment of inguinal hernia.Methods A total of 90 patients with inguinal hernia who were admitted from January 2020 to De-cember 2021 were selected as the subjects of this study.The selected patients were randomly divided into groups according to the or-der of admission.The control group of 45 cases received simple laparoscopic tension-free hernia repair.The study group of 45 cases received laparoscopic tension-free hernia repair combined with Buzhong Yiqi decoction.Pain score,hospital stay,postoperative recur-rence rate and TCM syndrome score before and after treatment were observed.Results After surgery,the pain score,hospital stay and postoperative recurrence rate of the study group were significantly lower than those of the control group,and the scores and total scores of TCM symptoms were significantly better than those of the control group(P<0.05).There was no statistical significance in the occur-rence of postoperative complications between the two groups(P>0.05).Conclusion Laparoscopic tension-free hernioplasty combined with Buzhong Yiqi decoction in the treatment of inguinal hernia can effectively shorten the hospital stay of patients,relieve pain,im-prove the symptoms of patients with insufficient air,and reduce the recurrence rate after surgery.It is worth popularizing in clinical practice.

indirect inguinal herniainguinal hernialaparoscopic hernia repairBuzhong Yiqi decoctiontherapy of integrated tradi-tional Chinese and Western medicine

颜贵武、江玲玲

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江西省泰和县中医院普通外科,江西 泰和 343700

狐疝 腹股沟疝 腹腔镜疝修补术 补中益气汤 中西医结合疗法

2025

中国中医药现代远程教育
世中联(北京)远程教育科技发展中心

中国中医药现代远程教育

影响因子:0.531
ISSN:1672-2779
年,卷(期):2025.23(1)