无张力疝修补术治疗成人腹股沟疝与传统术式的效果比较

Comparison of therapeutic effects between tension-free inguinal hernia repair and traditional surgery in the treatment of inguinal hernia in adults

目的探讨对比无张力疝修补术与传统手术治疗成人腹股沟疝的疗效。方法对1999～2008年成人腹股沟疝进行回顾性分析,将行无张力疝修补术166例患者作为观察组,将采取传统手术治疗的178例患者作为对照组,比较两组疗效及术中出血量、术后排气时间、住院时间、术后复发率等。结果观察组术中出血量、术后肛门排气时间和术后住院时间均优于对照组(P=0.001)。观察组术后复发率为0.30%,对照组术后复发率为10.6%,两组比较差异有统计学意义(P<0.001)。结论无张力疝修补术治疗成人腹股沟疝与传统手术方法比较,具有出血少、术后恢复快、住院时间短、术后复发率低的特点,适于在基层医院推广应用。

Objective To investigate the therapeutic effects of tension-free hernia repair and traditional surgery for inguinal hernia in adults. Methods A retrospective study on inguinal hernia in adults in our hospital during 1999 -2008 years was performed. One hundred and sixty-six patients treated by tension-free hernia repair were used as the observation group; another one hundred and seventy-eight patients treated by traditional surgery were used as the control group. The therapentic effects between the two groups were compared. Results Compared with the control group the observation group was superior in intraoperative blood loss, postoperative anal exhaust time and postopera- tive hospital stay（P =0. 001 ）. The recurrence rate in observation group was 0. 30% ;the recurrence rate in the con- trol group was 10. 6% ,the difference between the two groups had statistical significance （P 〈 0. 001 ）. Conclusion Compared with traditional surgery the tension-free hernia repair for adult inguinal hernia has advantages, such as less bleeding, rapid postoperative recovery, shorter hospital time, lower recurrence rate, is suitable for popularization and application in the grassroots hospitals.