疝环充填与下腹正中切口腹膜前间隙无张力疝修补术的对比

发布时间：2018-10-18 13:40

【摘要】：目的探讨疝环充填式无张力疝修补术(Rutkow术)和下腹正中切口腹膜前间隙无张力疝修补术(开放TEP术)对患者术后并发症及生活质量的影响。方法回顾性分析收治的腹股沟疝患者122例,62例行开放TEP术(观察组),60例行Rutkow术(对照组)。比较两组手术基本情况,术后并发症发生情况,治疗前后生活质量评分。结果所有患者术后均未发生膀胱和输精管损伤、感染、切口血肿等,术后随访均无复发、补片排异、感染、睾丸萎缩等;观察组伤口疼痛持续时间显著低于对照组(P0.01),其他手术指标对比差异无显著性(P0.05);观察组术后并发症发生率为11.29%,显著低于对照组(P0.01);两组治疗后PCS、MCS评分均较治疗前显著上升(P0.01),但观察组升高更显著(P0.01)。结论开放TEP术较Rutkow术治疗腹股沟疝具有术后疼痛轻、并发症少等优点,更能提高生活质量。
[Abstract]:Objective to investigate the effect of tension-free herniorrhaphy (Rutkow) and open TEP (open TEP) on postoperative complications and quality of life (QOL) in patients with tension-free hernia repair (Rutkow). Methods A retrospective analysis of 122 cases of inguinal hernia, 62 cases of open TEP (observation group), 60 cases of Rutkow (control group). The basic operation, postoperative complications, quality of life score before and after treatment were compared between the two groups. Results No bladder and vas deferens injury, infection, incisional hematoma were found in all patients. No recurrence, graft rejection, infection, testicular atrophy were observed. The duration of wound pain in the observation group was significantly lower than that in the control group (P0.01), but there was no significant difference in other surgical indexes (P0.05), the incidence of postoperative complications in the observation group was 11.29, significantly lower than that in the control group (P0.01), and the PCS,MCS score after treatment in both groups was significantly higher than that before treatment. The increase was more significant in the observation group (P 0.01) than in the observation group (P 0.01). Conclusion Open TEP is more effective than Rutkow in the treatment of inguinal hernia.
【作者单位】：河北北方学院附属第一医院肝胆外科;河北北方学院附属第一医院胃肠外科;
【基金】：河北省医学科学研究重点课题计划(编号:20160357)075000
【分类号】：R656.2

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