传统Bassini术与疝环充填式无张力疝修补术临床对比研究

The Clinical Study of the Triditional Bassini’s and the Tension-free Hemioplasty of Mesh Repair on Hernia

目的 探讨传统斜疝修补(Bassini式)与无张力疝修补术(疝环充填式)治疗腹股沟斜疝的临床疗效。方法 收集我院腹股沟斜疝病人100例,随机分为两组,每组50例,无张力组施行疝环充填式无张力疝修补术,Bassini组按传统Bassini术治疗,观察术后6～24个月的疗效。结果 与Bassini组相比,无张力组病人手术时间短、术后不适和并发症减少、住院天数缩短且不增加住院费用。结论 无张力疝修补术完全可以替代传统股沟斜疝修补术,且对不能耐受手术老年人、巨大疝、复发患者尤为适宜。

Objective To discuss the therapeupic effects of the Bassini’s procedure and tention-free hemioplasty(Mesh repair) on hernia. Methods One hundrad patients with hernia were dividedrandomzedly into 2 groups(n=50).The tension-free group were subjected to the mesh repair, the Bassini’s group were treated with the Bassini’s procedure. The follow-up of 6-24 months was conducted. ResultsCompared with control group, the shorter operative and hospital duration, as well as less of complicationsand cost were observed in tension-free group. Conclusions The mesh repair’s prodesure is better thanthe traditional one , and take the place of the latter in treatment of hernia in patients with olds, largehernia and recurrence.