129例腹股沟斜疝无张力修补前瞻性研究

Prospective Study on tension free repair for one hundred and twenty-nine indirect inguinal hernia patients

目的:探讨术后平卧体位对腹股沟无张力疝修补术后患者康复的临床应用价值。方法:对129例行无张力疝修补术的腹股沟疝患者进行前瞻性临床研究,将其随机分配到两组,平卧组64例,常规组65例,所有腹股沟疝患者均进行无张力疝修补术。术后平卧组患者卧床3周,床上大、小便;常规组患者术后按常规时间起床。结果:本组129位患者均获得随访,时间为1-18个月,平均7.8个月。平卧组中出现了1例复发,常规组出现了3例复发。4例复发患者均进行再次手术治疗,至今无再发。术后其他并发症包括切口血肿,平卧组有2例,常规组有7例(p=0.009);术后疼痛不适,平卧组有6例,常规组有11例(p=0.03)。所有患者术后平均4.5d出院。结论:平卧体位可有效降低腹股沟无张力疝修补术后患者的术后复发等并发症。

Objective：To investigate the clinical efficacy of tension free repair for 129 indirect inguinal hernia patients.Methods：prospective study was conducted for one hundred and twenty-nine indirect inguinal hernia patients who have tension free repair,who had been randomly allocated into two groups,64cases in supine group who had been lying in bed for 3 weeks postoperatively and 65cases in conventional group who get up as usually.Results：All 129 patients were followed up for 1-18 months,an average of 7.8 months.There were 1 case recurrence in supine group and three cases recurrence in conventional group.4cases recurrence had undergone revision;so far no recurrence was fund.Other postoperative complications include wound hernatoma,2cases in supine group and seven patients in conventional group（p=0.009）.postoperative pain was fund also in 6 cases of supine group and 11 cases of conventional group.All patients were discharged with a hospital stay of 4.5 days Conclusion：Postoperative supine position is prone to decrease the postoperative recurrence and other complications for indirect inguinal hernia patients after tension free repair.