不同年龄段腹股沟斜疝患者行无张力疝修补的对照研究

Comparison Effects of Operation at Different Time on Inguinal Hernia

目的探讨对不同年龄段的腹股沟斜疝患者进行无张力疝修补术的效果,以寻找出最佳手术年龄段,为以后的手术时机选择提供依据。方法选取2006年6月-2008年11月于我院治疗的41例腹股沟斜疝患者为研究对象,将其按年龄分为A、B、C三组,其中A组13例患者全为〈2岁的患者,B组15例为2-6岁患者,C组13例为〉7岁的患者,分别对所有患者行无张力疝修补术,后对三组患者的术后效果及并发症等进行比较分析。结果通过比较发现,B组无论在治疗效果还是并发症发生率方面均优于其他两组（P均〈0.05）,差异有统计学意义。结论在对腹股沟斜疝患者进行无张力疝修补术时,最佳年龄段是2-6岁,此年龄段不仅可以提前治疗疾病,减少患者痛苦,且并发症发生率等也较少,值得临床推广应用。

Objective To study the comparison effects of operation at the different time with inguinal hernia in order to provide evidence for the operation opportunity. Methods Total 41 cases with inguinal hernia patients from June 2006 to November 2008 in our hospital were divided into three groups. They were divided into A,B,C group according to age. 13 patients of group A were younger than 2 years,the age of 15 patients in group B was 2 -6 years old,and 13 patients in group C was older than 7 years old. All the patients received inguinal hernia operation, the operative effect and complications were compared. Results The effect, complication rate of group C was better than that of group A and B respectively, P 〈 0. 05, the difference has statistical significance. Conclusion The operation opportunity of inguinal hernia with the treatment of tension - free hernioplasty is 2 - 6 years old, and is worth of further studying.