老年腹外疝无张力疝修补术的疗效分析

The efficiency of tension-free hernioplasty for abdominal outer hernia in elderly patients

目的:评价无张力疝修补术在治疗老年人腹外疝中的临床疗效。方法:无张力疝修补术300例,随机分成平片修补组(A组)和疝环充填式修补组(B组),对2组的手术时间、人工材料费用及术后并发症等方面进行对比分析。结果:2组患者在年龄、住院时间、术后并发症、手术时间等方面无明显差异;在人工材料费用方面的差异有统计学意义(P<0.05)。结论:2种无张力疝修补术中平片修补法费用低,值得在基层医院推广。

Objective： To evaluate the efficiency of tension-free hernioplasty in treating abdominal outer hernia of elderly patients. Methods： Three hundred elderly inguinal hernia patients who were taken Tensionfree hernioplasty in my department were randomized into mesh repair group （A） and plug-mesh repair group （B） , and then compared them in operation times, hospitalization expenses and postoperative complications etc. Results： Was no statistically difference in age, duration of hospitalization, postoperative complications in the two groups. However, there were significant differences in operation expenses, and operation times （P〈0.05）. Conclusion： Between two types of tension-free hernioplasty , mesh tensionfree hernioplasty is cheaper in expenses and worth to extend in basic level hospital.