无张力疝修补术治疗腹股沟疝59例临床分析

Clinical Analysis of 59 Cases of Inguinal Hernia Repaired with Tension-free Hernioplasty

目的探讨无张力修补手术治疗腹股沟疝的临床疗效。方法回顾性分析2009年3月至2010年3月在我院治疗的59例腹股沟疝患者的临床资料。所有患者均采用疝环充填无张力疝修补术治疗,其中单侧斜疝38例,单侧直疝17例,双侧斜疝4例。结果 59例患者全部治愈,无切口感染,均为甲级愈合,恢复快,术后并发症少。随访1～12个月,无一例复发。结论无张力疝修补术治疗腹股沟疝,并发症少,复发率低,安全可靠,值得在临床上推广应用。

Objective To evaluate the therapeutic effects of tension-free hernioplasty in inguinal hernia.Methods A retrospective analysis of clinical data was conducted in 59 patients with inguinal hernia who were admitted in our hospital from March 2009 to March 2010.All the patients were treated with plug mesh tension-free hernia repair.Among them,38 cases were unilateral indirect inguinal hernia;17 cases were unilateral direct inguinal hernia,and 4 cases were bilateral indirect inguinal hernia.Results All patients had been healed by first intenion with no death or incisional infection,and no major complication.All cases got the follow-up survey from 1 to 12 months.There was no recurrence during the follow-up.Conclusion Tension free hernioplasty has the advantages of less complication and low relapse rate,which is a safe and reliable methed to cure inguinal hernia.