无张力疝修补术治疗绞窄性腹股沟疝的体会

Tension-free repair for strangulated inguinal hernia

目的 比较无张力疝修补术与传统Bassini手术对绞窄性腹股沟疝的治疗效果.方法 回顾性分析2003年1月至2007年12月间急诊行手术治疗的47例绞窄性腹股沟疝.其中,行Li-chtenstein无张力疝修补术21例（A组）,行Bassini手术26例（B组）.结果 两组术后并发症发生率差异无统计学意义（P〉0.05）.B组术后住院时间明显长于A组（P〈0.05）.术后随访6个月～5年,病人复发率差异无统计学意义（P〉0.05）.结论 对绞窄性腹股沟疝的病人应用Lichtenstein无张力疝修补术是安全的.

Objective To compare the outcome used to treat strangulated inguinal hernia. Methods of tension-free mesh repair vs Bassini technique Forty-seven patients with strangulated inguinal hernia from January 2003 to December 2007 were analyzed retrospectively. Twenty-one patients （group A） underwent open tension-free anterior repair according to Lichtenstein tension-free technique, and 26 patients（group B）were subjected to Bassini technique. Results There was no significant difference in postoperative complication rate between the two groups（P〉0. 1）5）. Postoperative hospital stay was also significantly longer in group B than in group A（P〈0.1）5）. During the follow-up of six months to five years, there was no significant difference in recurrence between two groups（P〉0.05）. Conclusion The application of Lichtenstein tension-free technique in emergency treatment of strangulated ingui nal hernia is safe and effective.