本文選題：疝 + 股　； 參考：《新疆醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的：探討經(jīng)腹膜前間隙無張力腹股溝疝修補術(shù)與疝環(huán)填充式無張力腹股溝疝修補術(shù)治療腹股溝股疝的臨床療效。方法：回顧性分析2009年1月—2014年12月在新疆醫(yī)科大學(xué)第一附屬醫(yī)院收治的腹股溝股疝患者23例,根據(jù)手術(shù)方式,分為經(jīng)腹膜前間隙無張力腹股溝股疝修補術(shù)與疝環(huán)填充式無張力腹股溝股疝修補術(shù)進行臨床對比研究。觀察兩組平均手術(shù)時間、術(shù)后疼痛VAS評分、術(shù)后并發(fā)癥及術(shù)后復(fù)發(fā)情況。結(jié)果：腹膜前間隙組與疝環(huán)填充式組手術(shù)平均時間分別為44.1±5.68min和39.6±4.86min;術(shù)后疼痛4、8、12h二組疼痛VAS差異無統(tǒng)計學(xué)意義(P0.05),但術(shù)后1個月疼痛VAS差異有統(tǒng)計學(xué)意義(P0.05)。腹膜前間隙組陰囊水腫1例,術(shù)后4天消退,無術(shù)后異物感,無術(shù)后復(fù)發(fā)；疝環(huán)填充式組術(shù)后陰囊水腫2例,術(shù)后3-7天消退,皮下血清腫2例,經(jīng)穿刺后消失。術(shù)后異物感5例,隨訪5-18個月無術(shù)后復(fù)發(fā)情況,二者術(shù)后異物感有統(tǒng)計學(xué)意義(P0.05)。結(jié)論：經(jīng)腹膜前間隙無張力修補術(shù)治療腹股溝股疝就術(shù)后異物感而言優(yōu)于疝環(huán)填充式修補,且經(jīng)腹膜前間隙無張力修補術(shù)應(yīng)用補片覆蓋整個肌恥骨孔,更能預(yù)防其它疝的復(fù)發(fā),是治療腹股溝股疝更為合理的手術(shù)方式。
[Abstract]:Objective: to investigate the clinical effect of tension-free inguinal hernioplasty via anterior peritoneal space and tension-free hernia repair with hernia ring filling in the treatment of inguinal femoral hernia. Methods: from January 2009 to December 2014, 23 patients with inguinal hernia were treated in the first affiliated Hospital of Xinjiang Medical University. A comparative study was carried out between tension-free inguinal hernia repair and tension-free inguinal hernia repair. The mean operation time, postoperative pain VAS score, postoperative complications and postoperative recurrence were observed. Results: the mean operation time of anterior peritoneal space group and hernia ring filling group was 44.1 鹵5.68min and 39.6 鹵4.86 minutes, respectively, but there was no significant difference in pain between the two groups at 812 hours after operation (P 0.05), but there was significant difference in pain 1 month after operation (P 0.05). In the preperitoneal space group, scrotum edema disappeared 4 days after operation, no postoperative foreign body sensation, no recurrence, and scrotal edema disappeared in 2 cases, 3 to 7 days after operation in hernia ring filling group, and subcutaneous serum swelling disappeared after puncture. 5 cases of postoperative foreign body sensation were followed up for 5 to 18 months, there was no recurrence after operation, there was significant difference between them (P 0.05). Conclusion: the treatment of inguinal femoral hernia via anterior peritoneal space tension-free repair is superior to that of hernia ring filling repair in terms of postoperative foreign body sensation, and the application of patch covering the whole muscle pubic foramen can prevent the recurrence of other hernias. It is a more reasonable way to treat inguinal femoral hernia.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R656.22

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相關(guān)期刊論文 前1條

1 陳雙;;腹股溝疝的病理生理[J];中華疝和腹壁外科雜志(電子版);2010年03期

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本文編號：2003424