兩種不同術(shù)式治療腹股溝斜疝的臨床療效分析

高志軍

[摘要] 目的 通過(guò)兩種不同手術(shù)方式治療腹股溝斜疝，對(duì)其臨床療效進(jìn)行對(duì)比分析。 方法 隨機(jī)選取2011年4月—2012年7月入住該院進(jìn)行治療的180例腹股溝斜疝患者，將其隨機(jī)分為對(duì)照組和觀察組，每組各90例患者，對(duì)照組患者采取傳統(tǒng)修補(bǔ)術(shù)進(jìn)行治療，觀察組采取無(wú)張力修補(bǔ)術(shù)進(jìn)行治療。進(jìn)行為期2年的隨訪，對(duì)兩組患者的療效進(jìn)行觀察。 結(jié)果 對(duì)兩組患者的手術(shù)時(shí)間、自主下床活動(dòng)時(shí)間、住院時(shí)間進(jìn)行對(duì)比，觀察組患者均優(yōu)于對(duì)照組。對(duì)兩組患者的血清炎癥介質(zhì)進(jìn)行對(duì)比，如白細(xì)胞、C-反應(yīng)細(xì)胞、血清纖維蛋白質(zhì)以及a1-抗胰蛋白酶，觀察組患者的各項(xiàng)指標(biāo)均優(yōu)于對(duì)照組患者，說(shuō)明無(wú)張力修補(bǔ)術(shù)治療腹股溝斜疝具有更顯著的療效，P<0.05，其差異有統(tǒng)計(jì)學(xué)意義。 結(jié)論 無(wú)張力修補(bǔ)術(shù)具有并發(fā)癥少、適應(yīng)癥寬、療效較好的優(yōu)點(diǎn)，值得進(jìn)一步在臨床上推廣使用。

[關(guān)鍵詞] 無(wú)張力修補(bǔ)術(shù)；傳統(tǒng)修補(bǔ)術(shù)；腹股溝斜疝；臨床療效

[中圖分類號(hào)] R656.21 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742（2015）04（c）-0067-02

[Abstract] Objective Through two different ways of？operation？in treatment of？inguinal hernia，？compare the？clinical efficacy. Methods 180 cases of inguinal hernia patients in our hospital from April 2011 to July 2012 were randomly divided into control group and observation group， 90 patients in each group， the control group of patients taking traditional repair treatment， observation group taking tension-free repair treatment. For a period of 2 years of follow-up， the efficacy of the two groups were observed. Results Operation time， independent ambulation time， hospitalization time of two groups were compared， the patients of observation group was better than control group.Comparison of serum inflammatory mediators in patients of the two groups， such as white blood cells， C- cells， serum reaction fibrous protein and a1- antitrypsin， the indexes of observed group of patients was better than those of the control group； tension free repair in treatment of indirect inguinal hernia has more significant effect， P<0.05， the difference was statistically significant. Conclusion The tension-free repair has fewer complications， indications wide， good effect， worthy of further promoting the use in clinical practice.

[Key words]Tension-free repair；Traditional repair；Inguinal hernia；Clinical efficacy

腹股溝斜疝是一種常見(jiàn)的外科疾病，主要是由于臨床治療引起嵌頓性疝，從而造成腸壞死[1]。治療腹股溝斜疝的主要方式為無(wú)張力修補(bǔ)術(shù)和傳統(tǒng)修補(bǔ)術(shù)。該研究隨機(jī)選取2011年月—2012年7月間該院收治的180例腹股溝斜疝患者為研究對(duì)象，將對(duì)這兩種治療腹股溝斜疝的手術(shù)方式進(jìn)行分析，探討不同手術(shù)方式的療效，現(xiàn)報(bào)道如下。

1 資料與方法

1.1 一般資料

選取入住該院進(jìn)行治療的180例腹股溝斜疝患者作為研究對(duì)象，其中男性患者111例，女性患者69例，患者的年齡區(qū)間為21～83歲，患者平均年齡為（52.3±31.2）歲。將這180例患者隨機(jī)分為對(duì)照組和觀察組，對(duì)照組患……