|本期目录/Table of Contents|

[1]朱林峰,肖家全,马芳,等.腹腔镜和开放疝修补术后患者的生活质量的随机对照研究[J].医学研究与战创伤救治(原医学研究生学报),2023,25(3):267-271.[doi:10.3969/j.issn.1672-271X.2023.03.009]
　Zhu Linfeng,XIAO Jiaquan,MA Fang,et al.A controlled randomized trial of quality of life in patients after laparoscopic and open hernia repair[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2023,25(3):267-271.[doi:10.3969/j.issn.1672-271X.2023.03.009]
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腹腔镜和开放疝修补术后患者的生活质量的随机对照研究()
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《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第25卷
期数:
2023年3期
页码:
267-271
栏目:
临床研究
出版日期:
2023-08-01

文章信息/Info

Title:
A controlled randomized trial of quality of life in patients after laparoscopic and open hernia repair
作者:
朱林峰; 肖家全; 马芳; 汪敏徽; 张勇
作者单位：243000马鞍山，马鞍山市人民医院胃肠外科（朱林峰、肖家全、马芳、汪敏徽、张勇）
Author(s):
Zhu Linfeng;  XIAO Jiaquan;  MA Fang;  WANG Minhui;  ZHANG Yong
(Department of Gastrointestinal Surgery, Maanshan People’s Hospital, Maanshan 243000, Anhui，China)
关键词:
腹腔镜; 腹腔镜经腹腹膜前疝无张力修补术; 疝; 生活质量
Keywords:
laparoscopy; laparoscopic transabdominal preperitoneal hernia repair; hernia; quality of life
分类号:
R656.21
DOI:
10.3969/j.issn.1672-271X.2023.03.009
文献标志码:
A
摘要:
目的了解疝修补术后患者健康相关的生活质量。方法选择2019年6月至2022年6月在马鞍山市人民医院进行单侧腹股沟疝修补术的101例患者。通过抽签的方式将患者随机分成2组：48例行腹腔镜经腹腹膜前疝无张力修补术(TAPP）为TAPP组；53例行开放式无张力疝修补术（使用Lichtenstein术或Rutkow术）为OHR组。在术后第1、7天，第1、2、6个月进行门诊随访，随访方式包括门诊、电话。第一次随访采用SF-36量表评估患者的生活质量。观察比较2组患者的住院时间、手术时间、术后并发症、疼痛、复发和生活质量等。 结果与OHR组对比，TAPP组患者术后第7天疼痛 (P=0.003)、住院时间 (P=0.000)、术后并发症 (P=0.035、慢性疼痛 (P=0.033)具有优势，差异显著。TAPP组的生活质量在躯体疼痛(P=0.015)、总体健康(P=0.010)、生理功能(P=0.009)、生理职能 (P=0.024)方面表现更好，差异有统计学意义。然而，心理健康的四个量表中差异无统计学意义(P>0.05)，但TAPP组的结果更好。TAPP组的SF-36总分结果更高，差异具有统计学意义(P=0.000)。结论TAPP治疗腹股沟疝可以明显改善术后早期疼痛、生活质量，降低住院时间和术后并发症。
Abstract:
ObjectiveTo understand the health-related quality of life of patients after hernia repair.MethodsA total of 101 patients who underwent unilateral inguinal hernia repair in Ma ’anshan People’s Hospital from June 2019 to June 2022 were selected. The patients were randomly divided into two groups: 48 patients underwent laparoscopic transabdominal tension-free preperitoneal hernia repair (TAPP) as the TAPP group, OHR group included 53 patients who underwent open tension-free hernia repair (Lichtenstein or Rutkow operation). Patients were followed up at 1, 7 days, 1, 2 and 6 months after surgery by outpatient examination and telephone interview. The quality of life was assessed using the SF-36 scale at the first follow-up. The length of hospital stay, operation time, postoperative complications, pain, recurrence and quality of life were compared between the two groups.ResultsCompared with the OHR group, the TAPP group had significant advantages in pain 7 days after operation (P=0.003), length of hospital stay (P=0.000), postoperative complications (P=0.035), and chronic pain (P=0.033). The TAPP group performed better in body pain (P=0.015), general health (P=0.010), physical functioning (P=0.009), and role physical (P=0.024). However, there was no statistical significance in the four scales of mental health. The total score of SF-36 in the TAPP group was better than that in the control group (P=0.000).ConclusionTAPP in the treatment of inguinal hernia can significantly improve early postoperative pain, quality of life, and reduce the length of hospital stay and postoperative complications.

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更新日期/Last Update: 2023-08-24