应用疝环充填式无张力疝修补术治疗腹股沟疝168例临床分析

Clinical analysis of the therapeutic efficacy of plug and mesh hernia repair in inguinal hernia

目的 总结疝环充填式无张力疝修补术的治疗效果。方法 采用美国巴德公司的聚丙烯疝环充填物及成型补片 ,对 168例腹股沟疝病人进行无张力修补治疗 ,对手术时间、伤口疼痛、术后自主能力的恢复、住院时间、并发症及复发率等进行观察。结果 与传统疝修补手术相比 ,具有方法简便 ,术后疼痛轻 ,恢复快 ,住院时间短 ,并发症少 ,复发率低和更宽的手术指征等优点。结论 疝环充填式无张力疝修补术是一种治疗腹股沟疝的理想手术方法。

Objective To evaluate the therapeutic efficacy of plug and mesh tension-free hernia repair in inguinal hernia. Methods A total of 168 patients were treated by plug and mesh hernia repair with BardR Mesh & PerFixR plug manufactured by Bard Company in USA. The operation time, postoperative pain, recovery of independence, hospitalized stay, complications, and recurrence rate were observed. Results The plug and mesh hernia repair had greater advantages than the traditional hernia repair procedure: easier surgical operation, less postoperative pain, quicker recovery, shorter hospital stay, fewer complications, lower recurrence, and wider surgical indications. Conclusion Plug and mesh hernia repair is the optimal surgical option for the management of inguinal hernia.