髂腹下神经包埋保护处理对腹股沟疝网塞加补片修补术术后疼痛的影响
|
摘要
目的探讨髂腹下神经包埋保护处理对腹股沟疝网塞加补片修补术术后疼痛的影响。方法选取2015年1月至2017年12月我院收治的腹股沟疝患者180例,随机分为两组各90例。所有患者均给予腹股沟疝网塞加补片修补术,对照组给予髂腹下神经常规处理,实验组给予髂腹下神经包埋保护处理,比较两组的手术指标、术后疼痛及并发症。结果实验组术后3个月、术后6个月的VAS评分显著低于对照组(P <0.05)。实验组的手术时间与对照组相比无统计学差异(P>0.05),实验组的下床活动时间、住院时间显著少于对照组(P <0.05)。结论髂腹下神经包埋保护处理能够改善腹股沟疝网塞加补片修补术患者的术后疼痛,促进患者术后康复,且具有良好的安全性。
Objective To explore the effect of embedding protection of iliohepatic nerve on pain after mesh plug and patch repair for inguinal hernia. Methods 180 cases of patients with inguinal hernia admitted to our hospital from January 2015 to December 2017 were selected and randomly divided into two groups equally. All patients were treated with mesh plug and patch repair for inguinal hernia; The control group received routine treatment of iliohepatic nerve, while the experimental group received embedding protection of iliohepatic nerve. The surgical indicators, postoperative pain and complications were compared between the two groups. Results The VAS scores at 3 months and 6 months after surgery of experimental group were significantly lower than those of control group(P <0.05). No statistical difference was found between two groups in the operation time(P >0.05), while the out-of-bed activity time and hospitalization time of experimental group were significantly shorter than those of control group(P <0.05). Conclusions Embedding protection of iliohepatic nerve can improve the postoperative pain of patients with mesh plug and patch repair for inguinal hernia, and promote postoperative recovery, with good safety.
Objective To explore the effect of embedding protection of iliohepatic nerve on pain after mesh plug and patch repair for inguinal hernia. Methods 180 cases of patients with inguinal hernia admitted to our hospital from January 2015 to December 2017 were selected and randomly divided into two groups equally. All patients were treated with mesh plug and patch repair for inguinal hernia; The control group received routine treatment of iliohepatic nerve, while the experimental group received embedding protection of iliohepatic nerve. The surgical indicators, postoperative pain and complications were compared between the two groups. Results The VAS scores at 3 months and 6 months after surgery of experimental group were significantly lower than those of control group(P <0.05). No statistical difference was found between two groups in the operation time(P >0.05), while the out-of-bed activity time and hospitalization time of experimental group were significantly shorter than those of control group(P <0.05). Conclusions Embedding protection of iliohepatic nerve can improve the postoperative pain of patients with mesh plug and patch repair for inguinal hernia, and promote postoperative recovery, with good safety.
引文
[1]Simons MP,Aufenacker T,Baynielsen M,et al.European Hernia Society guidelines on the treatment of inguinal hernia in adult patients.[J].Hernia,2014,18(3):443-444.
[2]高培松,张维娥.超声引导下髂腹股沟-髂腹下神经阻滞在成人腹股沟疝中的应用[J/CD].世界最新医学信息文摘(电子版),2016,16(54):157.
[3]麦麦提艾力·麦麦提明,皮尔地瓦斯,李一亮,等.腹股沟疝无张力疝修补术补片及术后慢性疼痛的认识[J/CD].中华疝和腹壁外科杂志(电子版),2017,11(1):31-35.
[4]唐忠斌,赵艾君,戴耀华.腹腔镜与传统手术治疗小儿腹股沟斜疝对比研究[J].中国医药导报,2014,11(1):41-43.
[5]黄文强,叶浩清.两种麻醉方法在腹股沟疝无张力修补术中的临床应用疗效比较[J].临床医学工程,2014,21(4):489-490.
[6]Ando H,Kaneko K,Ito F,et al.Anatomy of the round ligament in female infants and children with an inguinal hernia[J].Br J Surg,2015,84(3):404-405.
[7]薛杭.超声引导下区域神经阻滞在小儿腹股沟区术后镇痛的应用[J].国际儿科学杂志,2015,42(1):66-69.
[8]赵攀,赵平武.腹腔镜全腹膜外腹股沟疝修补术补片固定方式的进展[J].腹腔镜外科杂志,2015,20(11):874-877.
[9]冉隆青.超声引导下髂腹股沟及髂腹下神经阻滞在小儿麻醉中的应用[J].心理医生,2016,22(12):115-116.
[10]蒋亚男,陈健民,王殿琛,等.腹股沟疝无张力修补术后慢性疼痛与周围神经的关系[J/CD].中华疝和腹壁外科杂志(电子版),2015,9(3):40-42.
[11]李茂军,未彬秀.髂腹股沟-髂腹下神经阻滞在小儿腹股沟区手术中的应用效果[J].宁夏医科大学学报,2014,36(4):435-437.
[2]高培松,张维娥.超声引导下髂腹股沟-髂腹下神经阻滞在成人腹股沟疝中的应用[J/CD].世界最新医学信息文摘(电子版),2016,16(54):157.
[3]麦麦提艾力·麦麦提明,皮尔地瓦斯,李一亮,等.腹股沟疝无张力疝修补术补片及术后慢性疼痛的认识[J/CD].中华疝和腹壁外科杂志(电子版),2017,11(1):31-35.
[4]唐忠斌,赵艾君,戴耀华.腹腔镜与传统手术治疗小儿腹股沟斜疝对比研究[J].中国医药导报,2014,11(1):41-43.
[5]黄文强,叶浩清.两种麻醉方法在腹股沟疝无张力修补术中的临床应用疗效比较[J].临床医学工程,2014,21(4):489-490.
[6]Ando H,Kaneko K,Ito F,et al.Anatomy of the round ligament in female infants and children with an inguinal hernia[J].Br J Surg,2015,84(3):404-405.
[7]薛杭.超声引导下区域神经阻滞在小儿腹股沟区术后镇痛的应用[J].国际儿科学杂志,2015,42(1):66-69.
[8]赵攀,赵平武.腹腔镜全腹膜外腹股沟疝修补术补片固定方式的进展[J].腹腔镜外科杂志,2015,20(11):874-877.
[9]冉隆青.超声引导下髂腹股沟及髂腹下神经阻滞在小儿麻醉中的应用[J].心理医生,2016,22(12):115-116.
[10]蒋亚男,陈健民,王殿琛,等.腹股沟疝无张力修补术后慢性疼痛与周围神经的关系[J/CD].中华疝和腹壁外科杂志(电子版),2015,9(3):40-42.
[11]李茂军,未彬秀.髂腹股沟-髂腹下神经阻滞在小儿腹股沟区手术中的应用效果[J].宁夏医科大学学报,2014,36(4):435-437.