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中华普外科手术学杂志(电子版) ›› 2023, Vol. 17 ›› Issue (04) : 435 -438. doi: 10.3877/cma.j.issn.1674-3946.2023.04.022

论著

两种造口旁疝修补术的临床效果比较
段东峰, 王成果(), 王青, 王健, 惠立良, 莘玮, 杨媛   
  1. 710038 西安,空军军医大学第二附属医院普通外科
  • 收稿日期:2022-06-08 出版日期:2023-08-26
  • 通信作者: 王成果

Comparison of clinical effect of two kinds of parastostomy hernia repair

Dongfeng Duan, Chengguo Wang(), Qing Wang, Jian Wang, Liliang Hui, Wei Xin, Yuan Yang   

  1. Department of General Surgery, Second Affiliated Hospital of Air Force Military Medical University, Xi’an Shaanxi Province 710038, China
  • Received:2022-06-08 Published:2023-08-26
  • Corresponding author: Chengguo Wang
  • Supported by:
    Key Research and Development Program of Shaanxi Province(2018SF-154)
引用本文:

段东峰, 王成果, 王青, 王健, 惠立良, 莘玮, 杨媛. 两种造口旁疝修补术的临床效果比较[J/OL]. 中华普外科手术学杂志(电子版), 2023, 17(04): 435-438.

Dongfeng Duan, Chengguo Wang, Qing Wang, Jian Wang, Liliang Hui, Wei Xin, Yuan Yang. Comparison of clinical effect of two kinds of parastostomy hernia repair[J/OL]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(04): 435-438.

目的

分析造口原位腹膜前修补术与腹腔镜Sugarbaker术治疗造口旁疝的临床效果。

方法

回顾性分析2017年1月至2022年4月60例行造口旁疝修补术患者的临床病例,根据术式不同分为两组,各30例。观察组行造口原位腹膜前修补术,对照组行腹腔镜Sugarbaker术。数据分析均采用SPSS 22.0软件完成,围手术期指标、疼痛评分及造口功能评分等计量资料采用(

x¯
±s)表示,组间比较行独立样本t检验;术后并发症和复发率等计数资料组间比较行χ2检验。P<0.05为差异有统计学意义。

结果

观察组首次排气时间、住院费用等优于对照组,但对照组术中出血量、引流管拔除时间优于观察组,差异有统计学意义(P<0.05);观察组患者术后1 d、3 d疼痛评分显著低于对照组,术后7 d造口功能评分显著高于对照组(P<0.05);两组患者并发症总发生率和复发率比较,差异无统计学意义(P>0.05)。

结论

相比腹腔镜Sugarbaker术,采用造口原位腹膜前修补术治疗造口旁疝,术后患者疼痛轻,肠道功能恢复快,造口功能更好,且减轻患者经济负担。

Objective

To analyze the clinical effects of orthostomy preperitoneal repair and laparoscopic Sugarbaker in the treatment of parastostomy hernia.

Methods

Sixty patients who underwent parastostomy hernia repair from January 2017 to April 2022 were retrospectively analyzed and divided into two groups with 30 cases each according to different operation methods. The observation group underwent in situ preperitoneal repair and the control group underwent laparoscopic Sugarbaker operation. All data were analyzed using SPSS 22.0 software. Measurement data of perioperative indexes,pain scores and ostomy function scores were represented by(

x¯
±s),and independent t test was performed for comparison between groups. The number of postoperative complications and recurrence rate were compared among the data groups by χ2 test. P<0.05 was considered statistically significant.

Results

The first exhaust time and hospitalization cost of the observation group were better than those of the control group,but the intraoperative blood loss and drainage tube removal time of the control group were better than those of the observation group,the difference was statistically significant(P<0.05). The pain scores of the observation group were significantly lower than those of the control group at 1 d and 3 d after surgery,and the ostomy function scores at 7 d after surgery were significantly higher than those of the control group(P<0.05). There was no significant difference in the total complication rate and recurrence rate between the two groups(P>0.05).

Conclusion

Compared with laparoscopic Sugarbaker,the treatment of parastostomy hernia with orthostomy preperitoneal repair results in less postoperative pain,faster recovery of intestinal function,better ostomy function,and less financial burden for patients.

表1 60例造口旁疝不同修补术式两组患者一般资料比较[(
x¯
±s),例]
表2 60例造口旁疝不同修补术式两组患者围手术期指标比较(
x¯
±s)
表3 60例造口旁疝不同修补术式两组患者疼痛评分和造口功能评分比较(
x¯
±s)
表4 60例造口旁疝不同修补术式两组患者并发症发生情况比较[例(%)]
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