无张力疝修补术后慢性疼痛的临床研究

Cause and treatment of chronic pain after tension-free repair of groin hernia

目的探讨无张力疝修补术后慢性疼痛的原因及防治方法。方法对2007-01—2011-06实施无张力疝修补术142例患者的临床资料进行回顾性地分析。结果均行无张力疝修补术,按补片类型分为2组:聚丙烯类组(n=70)和聚四氟乙烯组(n=72)。术后疼痛发生率,聚丙烯类组为10.0%(7/70),聚四氟乙烯组为4.2%(3/72),差异有统计学意义(P<0.05)。结论聚四氟乙烯平片无张力疝修补术可减少腹股沟疝修补术后慢性疼痛的发生,疝修补材料应采用更符合生理、柔软舒适、并发症少的材质。

Objective To explore the cause and treatment of chronic pain after tension-free repair of groin hernia.Methods The clinical data of 142 cases with groin hernia undergent the tension-free hernioplasty during Jan 2007 to June 2011 was retrospectively analyzed.Results Tension-free hernioplasty was performed to all patients.Accorrding to operative methods,they were divided into two groups：polypropylene filling group（n=70） and expanded polytetrafluoroethylene（e-PTFE） mycromesh group（n=72）.With respect to the chronic pain rate after operation,polypropylene filling group（10.0%,7/70） was significant higher than e-PTFE mycromesh group（4.2%,3/72）（P〈0.05）.Conclusion The tension-free hernioplasty by e-PTFE mycromesh has less pain in the inguinal hernia repair due to the material is more suitable to human physiology,more soft and light,with less complications.