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腹腔镜与常规手术在急性腹股沟嵌顿疝治疗中的应用分析

Application Analysis of Laparoscopic and Conventional Surgery in the Treatment of Acute Incarcerated Inguinal Hernia
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摘要 目的对腹腔镜与常规手术在急性腹股沟嵌顿疝治疗中的应用价值进行分析。方法以2018年1月—2019年12月在该院接受治疗的68例腹股沟嵌顿疝患者作为研究对象,将其随机分为两组,对照组34例患者行常规手术,观察组34例患者行腹腔镜手术,对比两组手术指标及术后并发症发生率。结果观察组手术切口长度、手术时间、下床时间及住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(t=11.803、8.294、15.294、10.903、8.071,P<0.05)。观察组并发症发生率为2.94%,显著低于对照组的23.53%,差异有统计学意义(χ^2=4.610,P<0.05)。观察组治疗满意度为94.12%,显著高于对照组的76.47%(χ^2=7.902,P<0.05)。结论对腹股沟嵌顿疝患者实施腹腔镜手术,具有安全性高、效果确切、术后恢复快等优点。 Objective To analyze the application value of laparoscopic and conventional surgery in the treatment of acute incarcerated inguinal hernia. Methods A total of 68 patients with inguinal incarcerated hernia who were treated in the hospital from January 2018 to December 2019 were taken as the research objects. They were randomly divided into two groups, 34 patients in the control group underwent conventional surgery, and 34 patients in the observation group with laparoscopic surgery, and the surgical indicators and the incidence of postoperative complications were compared between the two groups. Results The length of surgical incision, operation time, time to get out of bed, and hospital stay in the observation group were shorter than those in the control group, and intraoperative blood loss was less than that in the control group. The difference was statistically significant(t=11.803, 8.294, 15.294, 10.903, 8.071,P<0.05). The complication rate in the observation group was 2.94%, which was significantly lower than 23.53% in the control group. The difference was statistically significant(χ^2=4.610, P <0.05). The treatment satisfaction rate of the observation group was 94.12%, which was significantly higher than the 76.47% of the control group(χ^2=7.902, P<0.05).Conclusion Laparoscopic surgery for patients with incarcerated inguinal hernia has the advantages of high safety,definite results, and quicker recovery after surgery.
作者 齐晟 何智勇 李承阐 曾东 李解尽 QI Sheng;HE Zhi-yong;LI Cheng-chan;ZENG Dong;LI Jie-jin(People's Hospital of Jiangyou City,Jiangyou,Sichuan Province,621700 China)
机构地区 江油市人民医院
出处 《系统医学》 2020年第17期22-24,共3页 Systems Medicine
关键词 腹股沟嵌顿疝 腹腔镜手术 常规手术 Incarcerated inguinal hernia Laparoscopic surgery Conventional surgery
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