开放手术治疗中小型腹壁切口疝的临床研究

目的:探讨开放手术在治疗中小型腹壁切口疝手术中的应用价值。方法:回顾性分析2016年1月—2018年1月郑州大学第一附属医院收治的110例中小型腹壁切口疝行疝修补术患者的临床资料，按手术方式不同分为开放组( n＝57)，腔镜组( n＝53)，开放组采用前入路腹膜外补片置入术行切口疝修补，腔镜组采...

Clinical study of open surgery for small and middle abdominal wall incision hernia

Objective To discuss the feasibility and value of open treatment for small and middle abdominal incision hernia repair.Methods Retrospective analysis of 110 patients with abdominal wall incision hernia repair in our hospital from January 2016 to January 2018.They were divided into two groups according to the different operation,including open treatment group(n=57)and laparoscopic treatment group(n=53),the VAS efficacy scores,anal exhaust time,defecating time,removal of gastric tube time,removal of drainage tube time,first feed time,postoperative hospital stay time,hospitalization expenses were observed and analyzed respectively,measurement date with normal distribution were expressed as(Mean±SD),comparisons between groups were analyzed using t test.Comparisons of count date between groups were analyzed using chi-square test.Results All the patients were discharged,the VAS efficacy scores in open treatment about one day or three day and five day were(4.02±0.19),(2.21±0.26),(1.39±0.98)scores,the VAS efficacy scores in laparoscopic treatment were(4.68±0.62),(2.76±1.18),(1.84±0.62)scores,there were differences in complications between the two groups(P<0.05).The anal exhaust time,defecating time,removal of gastric tube time,removal of drainage tube time,first feed time of open treatment group were(50.73±14.69)h,(87.21±13.75)h,(9.64±3.92)h,(3.42±1.22)d,(37.11±9.76)h,and the laparoscopic treatment group were(65.14±9.54)h,(89.73±11.56)h,(11.43±5.61)h,(2.81±1.39)d,(38.92±7.59)h,there were differences complications between the two groups(P<0.05).The postoperative hospital stay time of open treatment group were(9.14±0.03)d,the postoperative hospital stay time of laparoscopic treatment group were(9.74±0.49)d,there were not differences in complications between the two groups(P<0.05).The hospitalization expenses in open treatment group were(1.51±0.36)ten thousand yuan,the hospitalization expenses in laparoscopic treatment group were(2.13±1.06)ten thousand yuan,there were differencesin complications between the two groups(P<0.05).Conclusion Application of open treatment is feasible and effeetive for small and middle abdominal wall incision hernia.