[1]巩玉亮.两种术式治疗成人腹股沟疝疗效及对患者术后股静脉血流速度、疼痛情况的影响[J].陕西医学杂志,2021,50(11):1367-1370，1374.[doi:DOI:10.3969/j.issn.1000-7377.2021.11.011]
　GONG Yuliang.Effect of two surgical treatments on inguinal hernia and their influence on postoperative femoral vein blood flow velocity and pain in adult patients[J].,2021,50(11):1367-1370，1374.[doi:DOI:10.3969/j.issn.1000-7377.2021.11.011]
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两种术式治疗成人腹股沟疝疗效及对患者术后股静脉血流速度、疼痛情况的影响
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
50
期数:
2021年11期
页码:
1367-1370，1374
栏目:
临床研究
出版日期:
2021-11-05

文章信息/Info

Title:
Effect of two surgical treatments on inguinal hernia and their influence on postoperative femoral vein blood flow velocity and pain in adult patients
作者:
巩玉亮
(商洛市中心医院胃肠外科,陕西 商洛 726000)
Author(s):
GONG Yuliang
(Department of Gastrointestinal Surgery,Shangluo Central Hospital,Shangluo 726000,China)
关键词:
腹股沟疝;  ProGrip自固定型补片;  Lichtenstein术;  UHS型补片;  腹膜前间隙无张力修补术;  股静脉血流速度
Keywords:
Inguinal hernia;  ProGrip self-fixing patch;  Lichtenstein surgery;  UHS patch;  Anterior peritoneal tension-free repair;  Femoral vein blood flow
分类号:
R 656.2
DOI:
DOI:10.3969/j.issn.1000-7377.2021.11.011
文献标志码:
A
摘要:
目的:探讨ProGrip自固定型补片+Lichtenstein术与UHS型补片+腹膜前间隙无张力修补术(Gilbert术)治疗成人腹股沟疝的效果及对患者术后股静脉血流速度及疼痛情况的影响。方法:149例腹股沟疝患者,按手术干预方案不同分为Lichtenstein术补片组(n=70)和Gilbert术补片组(n=79),Lichtenstein术补片组给予ProGrip自固定型补片+Lichtenstein术治疗,Gilbert术补片组给予UHS型补片+Gilbert术治疗; 比较两组患者手术相关指标、术后疼痛情况、股静脉血流速度、并发症发生情况以及术后腹股沟疝复发情况。结果:Lichtenstein术补片组手术时间明显短于Gilbert术补片组(P<0.05),两组术后下地活动时间、术后住院天数以及恢复工作时间比较,差异无统计学意义(均P>0.05); 术后第1、7、30天,Lichtenstein术补片组以及Gilbert术补片组VAS评分均依次明显降低(P<0.05),两组组间比较差异无统计学意义(均P>0.05); Lichtenstein术补片组与Gilbert术补片组手术前后股静脉血流速度差值比较差异无统计学意义(P>0.05); Lichtenstein术补片组术后血肿发生率明显低于Gilbert术补片组(P<0.05),慢性疼痛发生率明显高于Gilbert术补片组(P<0.05),两组术后感染、尿潴留、切口麻木等并发症发生率以及复发率比较,差异无统计学意义(均P>0.05)。结论:ProGrip自固定型补片+Lichtenstein术与UHS型补片+Gilbert术治疗成人腹股沟疝均具有良好的治疗效果,与UHS型补片+Gilbert术比较,ProGrip自固定型补片+Lichtenstein术手术时间较短、术后血肿发生率较低,但慢性疼痛发生率更高。
Abstract:
Objective:To observe the effects of ProGrip self-fixing patch + Lichtenstein surgery and UHS patch + tension-free preperitoneal space repair(Gilbert surgery)in the treatment of adult inguinal hernias and their influence on postoperative femoral vein blood flow velocity and pain.Methods:149 patients with inguinal hernia were divided into Lichtenstein patch group(70 cases)and Gilbert patch group(79 cases)according to the different surgical intervention regimens.The Lichtenstein patch group was given ProGrip self-fixing patch+ Lichtenstein surgery,and the Gilbert patch group was given UHS patch + Gilbert surgery.The two groups were compared with surgery-related time indicators,postoperative pain,femoral vein blood flow velocity,complications,and postoperative inguinal hernia recurrence.Results:The operation time of the Lichtenstein patch group was significantly shorter than that of the Gilbert patch group(P<0.05).There was no statistically significant difference between the two groups in the postoperative ambulation time,the hospital stays and the time to return to work(all P>0.05).On the 1,7,and 30 days after surgery,the VAS scores of the Lichtenstein patch group and the Gilbert patch group were significantly reduced(all P<0.05),and there was no statistically significant difference between the two groups(all P>0.05).There was no significant difference in femoral vein blood flow velocity between the Lichtenstein patch group and the Gilbert patch group before and after operation(all P>0.05).The incidence of hematoma and chronic pain after operation in the Lichtenstein patch group were significantly lower than those of the Gilbert patch group(all P<0.05),and there was no significant difference in the incidence of postoperative infection,urinary retention,incision numbness and recurrence rate between the two groups(all P>0.05). Conclusion:ProGrip self-fixing patch + Lichtenstein surgery and UHS patch + Gilbert surgery have good therapeutic effects in the treatment of adult inguinal hernias.Compared with UHS patch + Gilbert surgery,ProGrip self- fixing patch + Lichtenstein surgery has a shorter surgical time,lower incidence rate of postoperative hematomas,but a higher incidence rate of chronic pain.

参考文献/References:

[1] 吴建林.经腹腔镜全腹膜外无张力疝修补术治疗腹股沟疝疗效观察[J].陕西医学杂志,2018,47(3):359-361.
[2] 中华医学会外科学分会疝与腹壁外科学组,中国医师协会外科医师分会疝和腹壁外科医师委员会.成人腹股沟疝诊断和治疗指南(2018年版)[J].中华胃肠外科杂志,2018,21(7):721-724.
[3] 王 亮,刘梅宝,张 涛.腹股沟嵌顿疝无张力修补术的疗效分析[J].中国普通外科杂志,2017,26(12):1599-1603.
[4] 宋占峰.平片式无张力疝修补治疗腹股沟疝临床效果及对患者氧化应激反应影响研究[J].陕西医学杂志,2018,47(6):771-773,776.
[5] 张 斌,侯海金,闫慧明.ProGrip型与UHS型补片在相应术式下治疗腹股沟疝的临床研究[J].中华疝和腹壁外科杂志:电子版,2018,12(6):42-45.
[6] 中华医学会外科学分会疝和腹壁外科学组.成人腹股沟疝诊疗指南(2014年版)[J].浙江医学,2014,52(15):484-486.
[7] 单亚娟.针灸联合推拿治疗腰椎间盘突出症疗效及对患者疼痛程度的影响[J].陕西中医,2021,42(6):789-792.
[8] Hernia Surge Group.International guidelines for groin hernia management[J].Hernia,2018,22(1):160-165.
[9] 杜 鹤,柳德元,白 涛.暖肝煎加减结合手术治疗老年嵌顿性腹股沟斜疝疗效观察[J].陕西中医,2014,35(3):333-334.
[10] 陈亚柯,陈建民,王殿琛,等.腹腔镜经腹腹膜前疝修补术与前入路手术治疗充填式无张力修补术后复发疝的对比研究[J].中国临床实用医学,2019,10(5):55-57.
[11] 胡永宏,王占雄.腹股沟疝无张力疝修补术的临床效果[J].吉林医学,2019,40(10):180-181.
[12] Kocijan R,Sandberg S,Chan YW,et al.Anatomical changes after inguinal hernia treatment:A reason for chronic pain and recurrent hernia?[J].Surg Endosc,2010,24(2):395-399.
[13] Kingsnorth A,Gingell-Littlejohn M,Nienhuijs S,et al.Randomized controlled multicenter international clinical trial of self-gripping Parietex ProGrip polyester mesh versus lightweight polypropylene mesh in open inguinal hernia repair:interim results at 3 months[J].Hernia,2012,16(3):287-294.
[14] Magnusson J,Nygren J,Gustafsson UO,et al.UltraPro hernia system,prolene hernia system and lichtenstein for primary inguinal hernia repair:3-year outcomes of a prospective randomized controlled trial[J].Hernia,2016,20(5):641-648.
[15] 陈宁波,曾 杰.局麻下应用UHS与Lichtenstein两种术式治疗腹股沟疝的疗效对比分析[J].临床外科杂志,2016,24(2):127-129.
[16] 杨松海,刘玉海.腹腔镜经腹腹膜前疝修补术治疗成人嵌顿性腹股沟疝35例分析[J].安徽医药,2018,22(7):1325-1327.
[17] 吴庆华,包皙婷,胡皆乐,等.同侧复发性腹股沟疝腹腔镜腹膜前修补术93例分析[J].中国微创外科杂志,2019,19(6):531-533.
[18] 麦麦提艾力?麦麦提明,赛甫丁?艾比布拉,艾克拜尔,等.腹股沟疝无张力修补术后慢性疼痛发生率及其影响因素分析[J].中华消化外科杂志,2018,17(11):1106-1110.
[19] Karaca AS,Ersoy OF,Ozkan N,et al.Comparison of inguinal hernia repairs performed with lichtenstein,rutkow-robbins,and gilbert double layer graft methods[J].Indian J Surg,2015,77(1):28-33.
[20] Scheuermann U,Niebisch S,Lyros O,et al.Transabdominal preperitoneal(TAPP)versus Lichtenstein operation for primary inguinal hernia repair-a systematic review and meta-analysis of randomized controlled trials[J].BMC Surg,2017,17(1):55-61.

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更新日期/Last Update: 2021-11-05