无张力疝修补术在肝硬化腹水并发腹壁疝患者中的应用效果及安全性
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摘要
目的探讨分析无张力疝修补术在肝硬化腹水并发腹壁疝患者中的应用效果及安全性。方法 100例肝硬化腹水并发腹壁疝患者,通过盲选方法分为对照组与研究组,每组50例。对照组采用传统疝修补术治疗,研究组实施无张力疝修补术治疗。比较分析两组的应用效果及安全性。结果研究组临床治疗总有效率为100.00%,高于对照组的84.00%,差异具有统计学意义(P<0.05)。研究组手术时间、手术后活动时间、住院时间均短于对照组,手术中出血量少于对照组,差异均具有统计学意义(P<0.05)。结论在肝硬化腹水并发腹壁疝患者中应用无张力疝修补术治疗的临床效果优于传统疝修补术,而且安全性高,更有助于术后康复,值得临床推广应用。
Objective To investigate and analyze the application effect and safety of tension-free hernia repair in patients with cirrhosis and ascites complicated with abdominal wall hernia. Methods A total of 100 patients with cirrhosis and ascites complicated with abdominal wall hernia were divided by double-blind method into control group and research group, with 50 cases in each group. The control group was treated with traditional hernia repair, and the research group was treated with tension-free hernia repair. The application effect and safety in two groups were compared and analyzed. Results The research group had higher total effective rate of clinical treatment as 100.00% than 84.00% in the control group, and the difference was statistically significant(P<0.05). The research group had shorter operation time, postoperative activity time and hospitalization time than the control group, and less intraoperative bleeding volume than the control group. Their difference was statistically significant(P<0.05). Conclusion Application of tension-free hernia repair shows better clinical effect than traditional hernia repair in patients with cirrhosis and ascites complicated with abdominal wall hernia with high safety, and it is more conducive to postoperative rehabilitation. It is worthy of clinical promotion and application.
Objective To investigate and analyze the application effect and safety of tension-free hernia repair in patients with cirrhosis and ascites complicated with abdominal wall hernia. Methods A total of 100 patients with cirrhosis and ascites complicated with abdominal wall hernia were divided by double-blind method into control group and research group, with 50 cases in each group. The control group was treated with traditional hernia repair, and the research group was treated with tension-free hernia repair. The application effect and safety in two groups were compared and analyzed. Results The research group had higher total effective rate of clinical treatment as 100.00% than 84.00% in the control group, and the difference was statistically significant(P<0.05). The research group had shorter operation time, postoperative activity time and hospitalization time than the control group, and less intraoperative bleeding volume than the control group. Their difference was statistically significant(P<0.05). Conclusion Application of tension-free hernia repair shows better clinical effect than traditional hernia repair in patients with cirrhosis and ascites complicated with abdominal wall hernia with high safety, and it is more conducive to postoperative rehabilitation. It is worthy of clinical promotion and application.
引文
[1]张传宝,张敬坡,冯雷,等.局部神经阻滞麻醉下无张力疝修补术在肝硬化腹水合并腹股沟疝患者中的应用.中华疝和腹壁外科杂志(电子版),2016,10(6):414-416.
[2]何晓莽,雷福明,黄文生.肝硬化腹水患者行疝环充填式无张力疝修补术临床观察.现代中西医结合杂志,2014,23(10):1102-1104.
[3]刘畅,尹涛.局部麻醉下无张力疝修补术在肝硬化腹水并发腹壁疝患者中的应用.中华疝和腹壁外科杂志(电子版),2014,8(4):342-343.
[4]韦永忠.疝环充填式无张力疝修补术治疗肝硬化腹水并发腹壁疝患者的应用体会.中国临床新医学,2010,3(12):1216-1218.
[5]马熙,刘晓江.疝环充填式无张力疝修补术在肝硬化腹水患者中的应用.临床外科杂志,2007,15(3):180.
[6]郝晶,陈尔佳.肝硬化顽固腹水并腹股沟疝无张力疝修补术18例体会.健康大视野(医学版),2014(8):589-590.
[7]孙力波,张海涛,赵晓飞,等.局麻下无张力疝修补术在肝硬化并发腹股沟疝患者中的应用.临床肝胆病杂志,2017,33(6):1116-1119.
[8]陈金辉,刘斌.局麻下超普网片Lichtenstein无张力疝修补术治疗腹股沟疝合并肝硬化腹水的体会.临床外科杂志,2013,21(6):428-430.
[9]李金龙,田丹,丁威,等.腹膜前无张力疝修补术治疗合并肝硬化腹水的腹股沟疝患者临床体会(附11例报告).中华疝和腹壁外科杂志(电子版),2012,6(2):728-732.
[10]殷俊杰,贾忠,刘国琼,等.疝囊顶入路腹膜前无张力疝修补术治疗肝硬化顽固性腹水并发嵌顿疝一例.中华疝和腹壁外科杂志(电子版),2014,8(4):78-79.
[2]何晓莽,雷福明,黄文生.肝硬化腹水患者行疝环充填式无张力疝修补术临床观察.现代中西医结合杂志,2014,23(10):1102-1104.
[3]刘畅,尹涛.局部麻醉下无张力疝修补术在肝硬化腹水并发腹壁疝患者中的应用.中华疝和腹壁外科杂志(电子版),2014,8(4):342-343.
[4]韦永忠.疝环充填式无张力疝修补术治疗肝硬化腹水并发腹壁疝患者的应用体会.中国临床新医学,2010,3(12):1216-1218.
[5]马熙,刘晓江.疝环充填式无张力疝修补术在肝硬化腹水患者中的应用.临床外科杂志,2007,15(3):180.
[6]郝晶,陈尔佳.肝硬化顽固腹水并腹股沟疝无张力疝修补术18例体会.健康大视野(医学版),2014(8):589-590.
[7]孙力波,张海涛,赵晓飞,等.局麻下无张力疝修补术在肝硬化并发腹股沟疝患者中的应用.临床肝胆病杂志,2017,33(6):1116-1119.
[8]陈金辉,刘斌.局麻下超普网片Lichtenstein无张力疝修补术治疗腹股沟疝合并肝硬化腹水的体会.临床外科杂志,2013,21(6):428-430.
[9]李金龙,田丹,丁威,等.腹膜前无张力疝修补术治疗合并肝硬化腹水的腹股沟疝患者临床体会(附11例报告).中华疝和腹壁外科杂志(电子版),2012,6(2):728-732.
[10]殷俊杰,贾忠,刘国琼,等.疝囊顶入路腹膜前无张力疝修补术治疗肝硬化顽固性腹水并发嵌顿疝一例.中华疝和腹壁外科杂志(电子版),2014,8(4):78-79.