应用聚丙烯轻量型平片行Lichtenstein手术在老年快速康复疝外科实践中的临床研究

Abstract
Figure/Table
References (18)
Related Citation (0)

Download: PDF (0 KB) HTML (41 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the superiority and feasibility of Lichtenstein operation using light polypropylene plain film in the practice of the elderly with rapid rehabilitation hernia surgery. Methods From January 2015 to January 2019, 120 elderly patients with inguinal hernia who were admitted to the First Department of General Surgery of People′s Hospital of China Medical University, People′s Hospital of Liaoning Province were selected as the research subjects. They were divided into the study group (n=67) and the control group (n=53) according to different meshes and surgical methods. In the study group, light polypropylene plain film for Lichtenstein was used, and in the control group,polypropylene-pro-lene hernia system (PHS) patch for open preperitoneal space tension-free hernia repair was applied.The operation-related indicators, postoperative pain score, postoperative complications, quality of life score and total satisfaction at one month after operation, and recurrence at one year of follow-up were analyzed and compared. Results The operation time, bed-off activity time, and hospital stay of the study group were shorter than those of the control group, the incidence of postoperative pain above moderate and foreign body sensation was lower than that of the control group, with statistically significant differences(P ＜0.05). The pain scores at the first, third, fifth, and seventh days after surgery in the study group were lower than those in the control group, with statistically significant differences (P＜0.05). The quality of life score and total satisfaction at one month after surgery in the study group were higher than those in the control group, with statistically significant differences (P＜0.05). There were no complications such as incision infection, urinary retention, seroma, etc., and there was no recurrence after one year of follow-up.Conclusion The use of light polypropylene plain film for Lichtenstein operation is simple, has few complications, and has high postoperative rehabilitation quality. It has obvious clinical advantages in the practice of rapid rehabilitation hernia surgery in the elderly.

Key words： Elderly inguinal hernia Rapid rehabilitation hernia surgery Light polypropylene plain film Lichtenstein operation PHS mesh Open preperitoneal space tension-free hernia repair

Received: 25 March 2020

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors

Cite this article:

URL:

https://www.dangdaiyiyao.com/EN/ OR https://www.dangdaiyiyao.com/EN/Y2020/V27/I29/17

[13]	江志鹏，杨斌，李英儒，等.腹股沟管的解剖学观察[J].中国实用外科杂志，2014，34（1）：90-92.
[1]	洪池.成人腹股沟疝手术方式沿革及进展[J].中国实用外科杂志，2016，36（7）：806-809.
[4]	中华医学会外科学分会疝与腹壁外科学组，中国医师协会外科医师分会疝和腹壁外科医师委员会.成人腹股沟疝诊断和治疗指南（2018年版）[J].中国实用外科杂志，2018，38（7）：704-706.
[5]	Department of Economic and Social Affairs Population Division.World Population Prospects：The 2017 Revision，Key Findings and Advance Tables[R].New York：United Nations，2017：146.
[6]	高万露，汪小海.患者疼痛评分法的术前选择及术后疼痛评估的效果分析[J].实用医学杂志，2013，29（23）：3892-3894.
[7]	王会民，路桃影，吴大嵘，等.疼痛测量工具的应答模式评析[J].循证医学理论与方法，2015，15（2）：102-107.
[8]	Hernia Surge Group.International guidelines for groin hernia management[J].Hernia，2018，22（1）：1-165.
[9]	Miserez M，Peeters E，Aufenacker T，et al.Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients[J].Hernia，2014，18（2）：151-163.
[10]	黄耿文，申鼎成，何文，等.快速康复模式下的腹腔镜腹股沟疝修补术[J].中国普通外科杂志，2016，25（10）：1470-1474.
[16]	刘汇明，田庆，袁义磊，等.腹腔镜经腹腹膜前疝修补术与Lichtenstein 治疗成年人腹股沟复发疝的术后疼痛分析[J].中国医师进修杂志，2017，40（4）：325-328.
[17]	潘成文，刘芸，朱励民.局麻Lichtenstein 无张力疝修补术与腹腔镜经腹腹膜前疝修补术的比较[J].浙江医学，2017，39（18）：1577-1580.
[18]	中华医学会老年医学分会.老年病人衰弱评估与干预中国专家共识[J].中华老年医学杂志，2017，36（3）：251-256.
[2]	李健文，乐飞.腹股沟疝无张力修补术术式演变与合理选择[J].中国实用外科杂志，2017，37（11）：1202-1205.
[11]	中华医学会麻醉学分会.成人术后疼痛处理专家共识[J].临床麻醉学杂志，2010，26（3）：190-196.
[12]	王海振，赵国庆，李龙云，等.腹横肌平面阻滞对术后慢性疼痛的影响[J].中国实验诊断学，2016，20（8）：1411-1414.
[14]	陈双.从解剖入手做好腹股沟疝规范手术[J].中国实用外科杂志，2014，34（5）：384-385.
[15]	陈双.腹股沟疝外科学[M].广州：中山大学出版社，2005：121-133.
[3]	秦昌富，陈杰.老年腹股沟疝的治疗现状[J].老年医学，2016，22（2）：71-73.