无张力疝修补术治疗腹股沟斜疝临床体会

Clinical Experience of Tension-Free Herniorrhaphy in Inguinal Hernia

目的:评价基层医院无张力修补术治疗腹股沟斜疝的临床疗效。方法:83例腹股沟斜疝患者均采用无张力修补术,分析患者手术时间、术后疼痛、术后阴囊水肿、切口感染、住院费用及疝复发情况。结果:患者均顺利出院,无张力修补术所需手术时间为61.5min,术后第2天即下床活动,1例患者术后出现阴囊血肿,2例出现尿潴留,均未出现切口感染,平均住院天数为5.9d;随访3～12个月,无复发。结论:无张力疝修补术是现在公认的修补方法,具有损伤小、痛苦小、恢复快和复发率低等优点,适宜基层医院推广应用。

Objective： to evaluate clinical efficacy of tension-free herniorrhaphy in inguinal hernia in primary hospitals.Methods： 83 cases of inguinal hernia by tension-free herniorrhaphy were studied in the aspects of operation time,postoperative pain,postoperative scrotum edema,incision infection,hospitalization expenses and recurrence.Results： All patients were discharged from hospital smoothly,tension-free herniorrhaphy operation time is 61.5min,off-bed activity starts the second day after operation,1 case with hematoma of scrotum,2 cases with urinary retention,no incision infection,average hospitalization is 5.9days,follow-up visits 3-12 months,69 patients were followed up with no recurrence.Conclusion： Tension-free herniorrhaphy is a widely acknowledged means with minimal operative injury,less pain,quick recovery,and rare recurrence,which is suitable to popularize in primary hospitals.