腹腔镜疝修补术治疗老年腹股沟疝的临床效果
摘要
目的探讨腹腔镜疝修补术治疗老年腹股沟疝的临床效果。方法选取应城市中医医院2016年2月—2017年6月收治的老年腹股沟疝患者90例,根据手术方法分为对照组和观察组,各45例。对照组采用常规开放无张力疝修补术治疗,观察组采用腹腔镜疝修补手术治疗。比较两组患者手术治疗效果及手术前后生活质量评分、下地活动时间、手术时间、疼痛程度评分、住院时间,并观察两组患者并发症发生情况。结果观察组患者总有效率高于对照组(P<0.05)。术前两组患者生活质量评分比较,差异无统计学意义(P>0.05);术后观察组患者生活质量评分高于对照组(P<0.05)。观察组患者下地活动时间、手术时间、住院时间短于对照组,疼痛程度评分低于对照组,并发症发生率低于对照组(P<0.05)。结论腹腔镜疝修补术治疗老年腹股沟疝的临床效果确切,可缩短患者手术时间,减少并发症,促使术后尽早康复,进而改善患者的生活质量。
引文
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[9]贺家勇,杨晨晨,李义亮,等.腹腔镜下腹股沟疝前间隙修补术、无张力疝修补术与传统疝修补术临床疗效比较[J].新疆医科大学学报,2015,38(9):1146-1150,1154.
[10]叶小勇,张帆,陈新岐,等.腹腔镜无张力疝修补术治疗老年双侧腹股沟疝32例分析[J].贵州医药,2015,39(7):609-610.
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[12]TIEN T,PUCHER P H,SODERGREN M H,et al.Differences in gaze behaviour of expert and junior surgeons performing open inguinal hernia repair[J].Surgical Endoscopy,2015,29(2):405-413.
[2]NAJAFIPOUR H,SANJARI M,SHOKOOHI M,et al.Epidemiologyof diabetesmellitus,pre-diabetes,undiagnosedand uncontrolled diabetes and its predictors in general population aged15 to 75 years:A community-based study(KERCADRS)in southeastern Iran[J].Journal of Diabetes,2015,7(5):613-621.
[3]赵鑫,刘燕,刘涛.腹腔镜疝修补术治疗高龄腹股沟疝的疗效观察[J].中国卫生标准管理,2017,8(2):58-59.
[4]董峰,胡季明,李秀琪.疝囊横断技术在老年腹腔镜完全腹膜外疝修补术中的应用[J].中国现代普通外科进展,2016,19(8):621-623.
[5]PISANU A,PODDA M,SABA A,et al.Meta-analysis and review of prospective randomized trials comparing laparoscopic and Lichtenstein techniques in recurrent inguinal hernia repair[J].Hernia:the Journal of Hernias and Abdominal Wall Surgery,2015,19(3):355-366.
[6]戴玮.手术护理路径在老年腹股沟疝患者腹腔镜下疝修补术中的应用[J].中西医结合护理(中英文),2016,2(5):100-102.
[7]MOURAVAS V,SFOUNGARIS D.Is routine reinforcement of the posterior inguinal wall necessary for laparoscopic inguinal hernia repair in children? Comment to:Technical refinement of minilaparoscopic hernia repair in infants and children.Tsai YC,Da Lin C,Chueh SC(2014)Hernia[J].Hernia:the Journal of Hernias and Abdominal Wall Surgery,2015,19(4):605-606.
[8]戴继平.腹腔镜手术治疗老年腹股沟疝患者的疗效及优势[J].实用临床医药杂志,2016,20(3):116-117,120.
[9]贺家勇,杨晨晨,李义亮,等.腹腔镜下腹股沟疝前间隙修补术、无张力疝修补术与传统疝修补术临床疗效比较[J].新疆医科大学学报,2015,38(9):1146-1150,1154.
[10]叶小勇,张帆,陈新岐,等.腹腔镜无张力疝修补术治疗老年双侧腹股沟疝32例分析[J].贵州医药,2015,39(7):609-610.
[11]邢专,谢永灿,魏波.开放及腹腔镜无张力疝修补术在双侧腹股沟疝中的应用[J].现代医院,2015,15(6):24-26.
[12]TIEN T,PUCHER P H,SODERGREN M H,et al.Differences in gaze behaviour of expert and junior surgeons performing open inguinal hernia repair[J].Surgical Endoscopy,2015,29(2):405-413.