腹股沟无张力疝修补术的随机对照研究

Randomized Comparative Study on Tension-free Herniorrhaphy for Inguinal Hernia

目的 :研究无张力疝修补术在临床中的应用价值。方法 :1998年 3月至 2 0 0 2年 3月 ,对符合条件的无张力疝修补病人 4 7名 5 1例次 ,都采用MESH -PLUG材料修补 ;传统手术组 4 8名腹股沟疝病人 5 0例次 ,采用Bassini或McVay法修补。两组随访 6～ 5 4月。结果 :无张力组手术时间和平均住院时间、疝复发病例等同传统手术组比较具差异显著性 (P <0 0 1)。观察期内传统组 4例复发后行无张力疝修补后治愈。结论 :无张力疝修补术较之传统手术治疗 ,手术时间短、术后疼痛轻、手术后恢复快。

Objective:The aim of this study was to evaluate the value of tension-free herniorrhaphy as being compared with conventional herniorrhaphy. Methods:From Mar.1998 through Mar.2002,51 open tension-free mesh-plug repairs on 47 patients were porformed.Meanwhile 50 conventional herniorrhaphy on 48 patients who were repaired with Bassini or Mc Vay operation.The Follow-up period was 6 to 54 months in the two groups. Results: The duration of surgery, the average duration of hospitalization and recurrence rate in the differen groups had a significant difference.Four cases with recurrence in the conventional group being cured after tension-free herniorrhaphy.Conclusions:Comparing with conventional herniorrhaphy group,tension-free herniorrhaphy required short operation time,shorter time in back to normal activities, less pain after operation, shorter hospitalization and rarer recurrence rate.