改进无张力疝修补术治疗腹外疝的疗效探讨与研究

周国成

[摘要] 目的 探討腹外疝治疗中采取改进无张力疝修补术治疗的临床效果。 方法 方便选择该院2016年1月—2018年1月收治的腹外疝患者80例作为研究对象，纳入对象临床资料完整，自愿配合研究，以随机双盲法分为常规组与观察组，每组患者40例。常规组患者接受常规手术方案治疗，观察组则采取改进无张力疝修补术治疗。记录两组患者手术时间、肠鸣音恢复时间、排便时间、下床活动时间、住院时间及并发症发生情况，予以统计学处理。 结果 观察组患者在手术时间、肠鸣音恢复时间、排便时间、下床活动时间、住院时间上均显著短于常规组[（45.39±4.83）min vs （59.84±8.59）min，（16.38±2.95）h vs （23.01±5.96）h，（3.72±1.67）d vs （6.28±2.36）d，（2.65±1.01）d vs （5.28±1.26）d，（6.58±0.07）d vs （10.02±1.26）d（t=8.933 8、6.305 4、5.600 2、10.300 5、17.240 4，P<0.05），而术后并发症发生率则显著低于常规组（5.00% vs 20.00%）（χ2=4.114 3，P<0.05）。 结论 腹外疝患者采取改进无张力疝修补术治疗，相比常规手术治疗，除了可以显著缩短手术时间与术后恢复时间，而且可以减少并发症发生，值得推广应用。

[关键词] 腹外疝;改进无张力疝修补术;疗效;并发症

[中图分类号] R656.2          [文献标识码] A          [文章编号] 1674-0742（2018）08（c）-0090-03

Improvement of Tension-free Hernia Repair in the Treatment of Abdominal Hernia

ZHOU Guo-cheng

Department of General Surgery， Division One， Jinan Iron and Steel Hospital， Jinan， Shandong Province， 250101 China

[Abstract] Objective To investigate the clinical effect of the application of improved tension-free hernia repair in the treatment of abdominal hernia. Methods 80 cases of abdominal palsy patients who were admitted to the hospital from January 2016 to January 2018 were convenient selected as study subjects. The clinical data of the subjects were included in the study. The patients were divided into the routine group and the observation group with a randomized double-blind method. 40 patients in each group. Patients in the conventional group received conventional surgical treatment， while those in the observation group were treated with improved tension-free hernia repair. The operative time， bowel sound recovery time， defecation time， ambulation time， length of stay， and complications of the two groups were recorded and statistically processed. Results The patients in the observation group were significantly shorter than the routine group in terms of operation time， bowel sound recovery time， defecation time， ambulation time， and hospital stay[（45.39±4.83）min vs （59.84±8.59）min， （16.38±2.95）h vs （23.01±5.96）h， （3.72±1.67）d vs （6.28±2.36）d， （2.65±1.01）d vs （5.28±1.26）d， （6.58±0.07）d vs（10.02±1.26）d （t=8.933 8， 6.305 4， 5.600 2， 10.300 5， 17.244 0， P<0.05）]. The incidence of postoperative complications was significantly lower than that of the conventional group （5.00% vs 20.00%）（χ2=4.114 3， P<0.05）. Conclusion The application of improved tension-free hernioplasty in patients with abdominal hernia is compared with conventional surgical treatment. It can not only significantly shorten the operation time and recovery time， but also reduce the occurrence of complications. It is worthy of popularization and application.

[Key words] Abdominal hernia; Improved tension-free hernia repair; Efficacy; Complications

腹外疝属于临床比较常见的一种腹外科疾病，发病原因主要为腹内压升高与腹壁强度下降等[1]。该病治疗方案较多，比如药物治疗、手术治疗等，其中手术治疗效果相对有效，传统手术方案创伤较大[2-3]，而近几年改进无张力疝修补术治疗逐渐成熟起来，在该病中得到一定的应用，该院也将其应用其中。该研究就该院2016年1月—2018年1月收治的80例腹外疝患者进行了分组研究，现报道如下。

1  资料与方法

1.1  一般资料

方便选择该院收治的腹外疝患者80例作为研究对象，纳入对象临床资料完整，确诊满足腹外疝诊断标准[4]，自愿配合研究，以随机双盲法分为常规组与观察组，每组患者40例。常规组：男性24例、女性16例;年龄20～74岁，均值（46.93±4.64）岁;斜疝28例、直疝12例。……