摘要
目的对比快速康复模式下超声刀和电刀在腹腔镜斜疝经腹膜前修补术中应用效果。方法选取2020年10月至2021年9月赣南医学院第三附属医院收治的60例行腹腔镜斜疝经腹膜前修补术治疗的患者作为研究对象,按照随机数字表法分为对照组与观察组,每组30例。两组均实施腹腔镜斜疝经腹膜前修补术联合快速康复模式护理治疗,对照组应用电刀干预,观察组应用超声刀干预,比较两组临床指标、围手术期并发症发生率及术后疼痛程度、复发率。结果两组手术时间比较差异无统计学意义;观察组住院时间短于对照组,术中出血量、治疗费用均少于对照组,差异有统计学意义(P<0.05)。观察组围手术期并发症发生率为30.00%,低于对照组的6.66%,差异有统计学意义(P<0.05)。两组视觉模拟疼痛评分法(VAS)评分组间、时间、交互比较差异有统计学意义(P<0.05);两组术后各时间点VAS评分均低于前一时间点,差异有统计学意义(P<0.05);术后6、12、24 h,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05)。观察组术后复发率为0.00%,低于对照组的13.33%,差异有统计学意义(P<0.05)。结论与传统电刀比较,快速康复模式下超声刀在腹腔镜斜疝经腹膜前修补术中应用效果显著,可缩短住院时间,节省住院费用,降低并发症发生率、复发率,减轻术后疼痛,且不增加手术时间,值得临床推广应用。
Objective To compare the effect of ultrasonic knife and electroknife in laparoscopic indirect hernia preperitoneal repair under rapid rehabilitation mode.Methods A total of 60 patients with laparoscopic indirect hernia preperitoneal repair in the Third Affiliated Hospital of Gannan Medical College from October 2020 to September 2021 were selected as the study subjects,and they were divided into the control group and the observation group according to the random number table method,with 30 cases in each group.Both groups were treated with laparoscopic indirect hernia preperitoneal repair combined with rapid rehabilitation mode,the control group was treated with electroknife,and the observation group was treated with ultrasonic knife,the clinical indexes,perioperative complication rate,postoperative pain degree and recurrence rate were compared between the two groups.Results There was no significant difference in operation time between the two groups;the hospitalization time in the observation group was shorter than that in the control group,the intraoperative blood loss and the treatment cost were less than those in the control group,the differences were statistically significant(P<0.05).There were significant differences of the visual analogue scale,VAS scores between two groups of group,time points and interaction(P<0.05);the VAS scores of the two groups at each time point after operation were lower than those at the previous time point,and the differences were statistically significant(P<0.05);at 6,12 and 24 h after operation,the VAS scores of the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The postoperative recurrence rate in the observation group was 0.00%,which was lower than 13.33%in the control group,and the difference was statistically significant(P<0.05).Conclusion Compared with the traditional electroknife,the application of ultrasonic knife in laparoscopic preperitoneal repair of oblique hernia under the mode of rapid rehabilitation has remarkable effects,which can shorten the hospital stay,save hospitalization costs,reduce the incidence of complications and recurrence,alleviate postoperative pain,and do not increase the operation time,which is worthy of clinical promotion and application.
作者
汤鑫
李玉洁
冯德伟
TANG Xin;LI Yujie;FENG Dewei(Second Department of Surgery,the Third Affiliated Hospital of Gannan Medical College,Ganzhou,Jiangxi,341000,China)
出处
《当代医学》
2023年第15期85-88,共4页
Contemporary Medicine
基金
赣州市指导性科技计划项目(GZ2020SF115)。
关键词
快速康复模式
超声刀
电刀
腹腔镜斜疝经腹膜前修补术
Rapid rehabilitation mode
Ultrasonic knife
Electroknife
Laparoscopic indirect hernia preperitoneal repair
