Kartal A, Yalcın M, Citgez B, Uzunkoy A
Okan University Hospital, General Surgery Clinic, Aydınlı Street, No:2, İçmeler/Tuzla, İstanbul, 34654, istanbul, Türkiye.
General Surgery Clinic, Mehmet Akif İnan Educating and Research Hospital, Sanlıurfa, Turkey.
Hernia. 2017 Aug;21(4):531-535. doi: 10.1007/s10029-017-1604-0. Epub 2017 Apr 9.
To investigate the effect of constipation on the development of inguinal herniation and type of herniation using the Constipation severity scale.
A total of 100 patients who underwent surgical inguinal hernia repair (study group) and 100 healthy volunteers without inguinal herniation (control group) were included in this study. The constipation severity scale was administered to all patients. The type of the herniation was classified using Nyhus scale during surgery and the side of the herniation was recorded on completed questionnaires. The obstructive defecation sub-scale score, colonic inertia sub-scale score, pain sub-scale score, and the total score were recorded for each patient and the association between constipation and the development of inguinal herniation was investigated.
The mean age of patients in Group 1 and 2 was 40.92 ± 17.80 and 33.71 ± 9.13, respectively. There was a significant difference between the two groups in terms of obstructive defecation and colonic inertia sub-scale scores (p < 0.01). In addition, except for the pain sub-scale score, there were significant differences between Nyhus hernia types with regard to sub-scale scores of the constipation severity scale in patients in Group 1 (p < 0.01).
Significantly higher obstructive defecation subscale, colonic inertia subscale, pain subscale, and total scores in the study group as compared to controls shows that constipation may represent an important etiological factor for the development of inguinal herniation.
使用便秘严重程度量表研究便秘对腹股沟疝发生发展及疝类型的影响。
本研究纳入了100例行腹股沟疝修补手术的患者（研究组）和100名无腹股沟疝的健康志愿者（对照组）。对所有患者进行便秘严重程度量表评估。手术期间使用Nyhus量表对疝的类型进行分类，并在完成的问卷上记录疝的侧别。记录每位患者的排便梗阻子量表评分、结肠惰性子量表评分、疼痛子量表评分及总分，并研究便秘与腹股沟疝发生发展之间的关联。
第1组和第2组患者的平均年龄分别为40.92±17.80岁和33.71±9.13岁。两组在排便梗阻和结肠惰性子量表评分方面存在显著差异（p<0.01）。此外，除疼痛子量表评分外，第1组患者中，Nyhus疝类型在便秘严重程度量表子量表评分方面也存在显著差异（p<0.01）。
与对照组相比，研究组的排便梗阻子量表、结肠惰性子量表、疼痛子量表及总分显著更高，表明便秘可能是腹股沟疝发生发展的一个重要病因。
