无张力疝修补术临床分析

Clinical Analysis of Tension-free Herniorrhaphy

目的探讨腹股沟疝的病因及如何降低无张力疝修补术后的复发率。方法回顾性分析38例腹股沟疝无张力修补术的临床资料。结果所有患者手术均顺利,平均手术时间48min,无手术死亡和切口感染,术后切口疼痛6人,阴囊积液4人,术后随访6～18个月,无复发。结论无张力疝修补术方法简便、适用范围广、术后疼痛轻、恢复快、并发症少;是目前较为安全有效的腹股沟疝的修补方法。

Objective To explore the etiological factors of inguinal hernia and how to cut down the recurrence rate after tension - free herniorrhaphy. Methods A retrospective study was made on analyzing the clinical data of 38 patients with inguinal hernia treated by tension - free herniorrhaphy. Results The operation was successfully performed in 38 patients, The mean operating time was 48 minutes, there was no operative mortality and infection of incisional wound, there were 6 cases of pain and 4 cases of scrotal hydrocele postoperatively, all the patients were followed - up for 6 - 18months, no hernia recurrence was observed. Conclusion Tension -free herniorrhaphy is a convenient method with a wide serviceable range, with less postoperation pain, faster recovery and fewer complications;it is a safe and effective method in treatment of inguinal hernia.