|
|
|
| Clinical effect observation of tension-free hernia repair in patients with oblique inguinal hernia |
| XU Wei SONG Jin-song |
| Department of General Surgery,Tianmen First people’s Hospital,Hubei Province,Tianmen 431700,China |
|
|
|
|
Abstract ObjectiveTo study the clinical effect of tension-free hernia repair in the treatment of patients with oblique inguinal hernia.MethodsFrom March 2015 to April 2017,90 patients with oblique inguinal hernia were selected and evenly divided into the traditional group and the tension-free group according to random number table method.In the traditional group,traditional hernia repair was used,while in the tension-free group,tension-free hernia repair was adopted.The total amount of bleeding during surgery,mean operation time,time of being off bed,average hospital stay,total therapeutic effectiveness rate,and incidence of complications including hematoma of scrotum were compared between the two groups.The total scores of SF-36 scale before and after treatment were compared between the two groups.ResultsThe total therapeutic effectiveness rate of in the tension-free group was significantly higher than that in the traditional group(P＜0.05).The incidence of complications such as hematoma of scrotum in the tension-free group was lower than that in the traditional group(P＜0.05).The total amount of bleeding,the meane operation time,time of being off bed,and the average hospital stay in the tension-free group were all superior to those in the traditional group (P＜0.05).Before treatment,the scores of SF-36 scale were similar in the two groups(P＞0.05).After treatment,the total scores of SF-36 in the two groups were higher than those before treatment,respectively (P＜0.05).The total score of SF-36 in the tension-free group after treatment was better than that in the traditional group (P＜0.05).ConclusionApplication of tension-free hernia repair is effective in the treatment of patients with indirect inguinal hernia.It can effectively improve the disease condition,reduce the occurrence of complications,speed up the rehabilitation,shorten hospital stay,and improve the quality of life at the characteristics of minimal invasion and safety,which is worthy of promotion.
|
|
|
|
|
|
| [1] |
戴鹏，林云，艾秋宝，等.无张力疝气修补术与传统疝气修补术治疗腹股沟疝的疗效对比[J].中国现代医生，2016，54（23）：40-42.
|
| [2] |
刘佳，俞磊，韩鄂辉，等.疝环充填式无张力疝修补术后网塞和成型补片的临床诊断效果分析[J].中华疝和腹壁外科杂志（电子版），2016，10（4）：305-307.
|
| [3] |
Wang J，Ji G，Yang Z，et al.Prospective randomized，doubleblind，placebo controlled trial to evaluate infection prevention in adult patients after tension-free inguinal hernia repair[J].Int J Clin Pharmth，2013，51（12）：924-931.
|
| [4] |
陈宇东.无张力补片修补法治疗疝气患者的临床疗效观察[J].中国民康医学，2016，28（5）：75-76.
|
| [5] |
庞卫东.腹膜前无张力腹股沟疝修补术临床疗效观察[J].中华疝和腹壁外科杂志（电子版），2016，10（3）：221-222.
|
| [6] |
黄继续.成人疝气应用无张力疝修补术治疗的疗效观察[J].中国现代医生，2016，54（19）：51-53.
|
| [7] |
Nakagawa M，Nagase T，Akatsu T，et al.A randomized prospective trial comparing clinical outcomes 3 years after surgery by Marcy repair and Prolene Hernia System repair for adult indirect inguinal hernia[J].Surg Today，2013，43（10）：1109-1115.
|
| [8] |
赵一军，许堃，章阳，等.盐水冰袋冷敷联合弹力裤在开放无张力腹股沟疝修补术后的应用效果观察[J].中华疝和腹壁外科杂志（电子版），2016，10（5）：352-355.
|
| [9] |
焦成涛.不同方式无张力疝修补术治疗腹股沟疝气的临床疗效分析[J].中国卫生标准管理，2016，7（24）：52-53.
|
| [10] |
Gong K，Zhang N，Lu Y，et al.Comparison of the open tension-free mesh-plug，transabdominal preperitoneal（TAPP），and totally extraperitoneal（TEP） laparoscopic techniques for primary unilateral inguinal hernia repair：a prospective randomized controlled trial[J].Surg Endosc，2011，25（1）：234-239.
|
| [11] |
赵凤林，秦昌富，陈杰，等.腹股沟疝无张力修补术后补片感染清创及伤口Ⅰ期缝合治疗[J].中华普通外科杂志，2017，32（4）：332-335.
|
| [12] |
严海兰.成人疝气应用无张力疝修补术治疗的临床研究[J].中国医药科学，2017，7（11）：211-214.
|
| [13] |
Jeroukhimov I，Wiser I，Karasic E，et al.Reduced postoperative chronic pain after tension-free inguinal hernia repair using absorbable sutures：a single-blind randomized clinical trial[J].J Am Coll Surgos，2014，218（1）：102-107.
|
| [14] |
刘翀.无张力疝修补术治疗疝气的临床探析[J].中国卫生标准管理，2016，7（9）：32-33.
|
| [15] |
张炜宇，李俊生，范新，等.无张力修补术在腹股沟嵌顿疝手术中的应用体会[J].中华普通外科学文献（电子版），2017，11（2）：129-131.
|
|
|
|
