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《無(wú)張力疝修補(bǔ)與傳統(tǒng)疝修補(bǔ)術(shù)治療腹外疝的臨床對(duì)比研究.doc》由會(huì)員上傳分享，免費(fèi)在線(xiàn)閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫(kù)。
1、無(wú)張力疝修補(bǔ)與傳統(tǒng)疝修補(bǔ)術(shù)治療腹外疝的臨床對(duì)比研究作者：何建軍，許克勤，湯建華，劉常岳，李宗浩，文霞初，劉及時(shí)，朱文勝，蔡銀忠，張建凱，吳閩華［摘要］目的探討無(wú)張力疝修補(bǔ)術(shù)治療腹外疝的臨床效果。方法回顧分析2003年7月~2005年12月無(wú)張力疝修補(bǔ)78例（A組），傳統(tǒng)疝修補(bǔ)417例（B組），對(duì)比分析兩組臨床資料。結(jié)果（1）平均手術(shù)時(shí)間：A組50min，B組61min；兩組差異無(wú)顯著性（χ2=3.0356，P>0.05）；（2）平均住院日：A組4.3天，B組9.1天，兩組差異有顯著性（χ2=
2、10.5996，P<0.005）；（3）平均醫(yī)療費(fèi)用：A組3980.2元，除外材料費(fèi)2000.2元，B組2097.13元，兩組差異無(wú)顯著性（χ2=2.056，P>0.05）；（4）平均術(shù)后下床活動(dòng)時(shí)間：A組12.4h，B組192.4h，兩組差異有顯著性(χ2=11.3459，P<0.005)；（5）平均術(shù)后恢復(fù)日?；顒?dòng)時(shí)間：A組4天，B組59天，兩組差異有顯著性（χ2=13.1575，P<0.005）；（6）術(shù)后并發(fā)癥：A組29.5%，B組57.3%，兩組差異有顯著性（χ2
3、=19.3209，P<0.005）；（7）術(shù)后復(fù)發(fā)：A組1.17%，B組18.0%，兩組差異有顯著性（χ2=5.002，P<0.05）。結(jié)論腹外疝無(wú)張力疝修補(bǔ)平均手術(shù)時(shí)間、除外修補(bǔ)材料的平均醫(yī)療費(fèi)用與傳統(tǒng)疝修補(bǔ)相等；平均住院日、平均術(shù)后下床活動(dòng)時(shí)間、平均術(shù)后恢復(fù)日常活動(dòng)時(shí)間、術(shù)后并發(fā)癥及術(shù)后復(fù)發(fā)率明顯低于傳統(tǒng)疝修補(bǔ)術(shù)；降低修補(bǔ)材料費(fèi)后無(wú)張力疝修補(bǔ)術(shù)是治療中老年腹外疝、復(fù)發(fā)疝及有并發(fā)癥的腹外疝的最佳術(shù)式?！。坳P(guān)鍵詞］無(wú)張力修補(bǔ)；傳統(tǒng)修補(bǔ)；腹外疝；外科手術(shù) Clinicalcomparis
4、onontension-freehernioplastywithtraditionalhernioplastyintreatingabdominalouterhernia［Abstract］ObjectiveToevaluatetheclinicaleffectoftension-freehernioplastyintreatmentofabdominalouterhernia.MethodsClinicaldataof78caseswithtension-freehernioplasty(Agr
5、oup)and417caseswithtraditionalhernioplasty(Bgroup)inthepatientswithabdominalouterherniafromJuly2003toDecember2005wereanalyzedretrospectively.Results(1)Agroupwere50minandBgroupwere61minforaverageoperationtimes,twogroupswerenothavedifference(χ2=3.0356，P
6、>0.05)；（2）Agroupwere4.3dandBgroupwere9.1dforaverageinpatientdays,twogroupsweresignificantdifference(χ2=10.5996,P<0.05);(3)Agroupwere2000.2yuan(subtractionmaterialcost)andBgroupwere2097.13yuanforaverageexpenses,twogroupshavenotdifference(χ2=2.056
7、1,P>0.05);(4)Agroupwere12.4handBgroupswere192.4hforaveragetimesofbeddownmoveafter5operation,twogroupsweresignificantdifference(χ2=11.3459,P<0.005);(5)Agroupwere4dandBgroupwere59dforaveragetimesofresumeeverydaymoveafteroperation,twogroupsweresign
8、ificantdifference(χ2=13.1575,P<0.005);(6)Agroupwere29.5%andBgroupwere57.3%forcomplicationafteroperation,twogroupsweresignificantdifference(χ2=19.3209,P<0.005);（7）Agroupwere1.17%andBgroupwere18.0%forrecurrentrate,twogroupsweresignificantd
