临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (4): 78-.

• • 上一篇    下一篇

充填式无张力疝修补术与传统疝修补术应用于腹股沟疝的疗效比较

  

  1. 平凉市第二人民医院 普外科,甘肃 平凉 744000
  • 出版日期:2022-10-01 发布日期:2023-01-16

Comparison of curative effect of filling tension-free hernioplasty and traditional hernioplasty in inguinal hernia

  1. General Surgery Department of Pingliang Second People's Hospital, Gansu Pingliang 74400, China
  • Online:2022-10-01 Published:2023-01-16

摘要:

目的 比较充填式无张力疝修补术(Rutkow 法)与传统疝修补术(Bassini 法)应用于腹股沟疝的疗效。方法 选取2019 年3 月至2021 年3 月平凉市第二人民医院收治的100 例腹股沟疝患者,按照随机数字表法分为对照组、观察组各50 例,观察组患者接受充填式无张力疝修补术(Rutkow 法),对照组患者接受传统疝修补术(Bassini 法),比较两组患者并发症发生率、围手术期指标、治疗满意度,以及治疗前后的生活质量、微环境相关指标。结果 观察组患者术中出血量少于对照组,疼痛持续时间、下床活动时间及住院时间均短于对照组,但手术时间长于对照组,差异均有显著性(P < 0.05)。观察组患者的切口感染、血肿、阴囊积液、尿潴留等并发症发生率低于对照组,治疗情况、微环境相关指标改善情况以及生活质量明显优于对照组,差异均有显著性(P < 0.05)。结论 行充填式无张力疝修补术治疗腹股沟疝患者,能够有效缩短患者疼痛持续时间、下床活动时间及住院时间,减少术中出血量,降低并发症发生率,提升治疗满意度,改善微环境指标及生活质量。

关键词: 腹腔镜疝修补术, Rutkow 法, Bassini 法, 手术治疗, 效果

Abstract:

Objective To compare the effect of plug tension-free hernioplasty (Rutkow method) and traditional hernioplasty (Bassini method) in inguinal hernia. Method 100 patients with inguinal hernia admitted to Pingliang Second People's Hospital from March 2019 to March 2021 were selected and divided into the control group and the observation group according to the random number table method, with 50 of each group. The patients in the observation group received filling Rutkow tension-free hernia repair, while the patients in the control group received traditional Bassini hernia repair. The incidence of complications, perioperative indicators, treatment satisfaction, as well as quality of life and microenvironment related indicators before and after treatment were compared between the two groups. Result The amount of bleeding during operation in the observation group was less than that in the

control group, the duration of pain, the time of getting out of bed and hospitalization were shorter than those in the control group, but the operation time was longer than that in the control group, with significant differences (P < 0.05). The incidence of wound infection, hematoma, scrotal effusion, urinary retention and other complications in the observation group was lower than that in the control group, and the treatment satisfaction, improvement of microenvironment related indicators and quality of life in the observation group were significantly better than those in the control group (P < 0.05). Conclusion Filling tension-free hernioplasty for inguinal hernia patients can effectively shorten the duration of pain, the time of getting out of bed and hospitalization, reduce intraoperative bleeding, reduce the incidence of complications, improve treatment satisfaction, and improve microenvironment

indicators and quality of life.

Key words: Laparoscopic hernia repair, Rutkow method, Bassini method, Surgical treatment, Effect