腹股沟疝无张力修补术630例临床分析

Clinical analysis of no tension repair in the treatment of 630 patients with inguinal hernia

目的观察腹股沟疝无张力修补术的临床效果。方法应用无张力疝修补术治疗腹股沟疝患者630例（共648侧），应用美国巴德公司生产的网塞及补片作为疝修补材料行腹股沟疝修补术；原发性斜疝604例（其中双侧18例），原发直疝15例（其中2例为斜疝并存直疝，1例双直疝合并右斜疝），复发疝11例。观察手术时间、伤t-3疼痛天数、术后下床活动时间、并发症及复发率。结果630例均顺利完成手术，手术时间40-110min，平均50min；术后6—24h均下床活动。术后尿潴留29例，留置导尿管24h至1周；切口下脂肪液化6例；术后有异物感3例；复发2例（3侧），其中双侧出现感染并双侧复发1例；出现切口局部红肿11例：切口轿摩异物感16例。术后平均8d出院。结论无张力修补术治疗腹股沟疝疗效好，复发率低。

Objective To observe the effect of no tension repair in the treatment of inguinal hernia. Methods No tension hernia repair was used to treat 630 patients with inguinal hernia （648 sides） ：primary indirect inguinal hernia in 604 cases （ 18 cases of bilateral）, primary, direct inguinal hernia in 15 cases （2 cases complicated with indirect inguinal hernia, 1 case of double direct inguinal hernia complicated with the right indirect hernia）, recurrent hernias （11 cases）. The mesh plug and patch of American Bard Company production was selected as hernia repair material for inguinal hernia repair. The operation time, the wound pain day, postoperative ambulation time, complications, and the recurrence rate was observed. Results 630 cases were all successful in operation, and the operation time was 40 110min, average operation time about 50min. 6 - 24h after operation all patients were got out of bed. 29 cases of the postoperative urinary retention, indwelling catheter 24 hours to 1 week ; 6 eases of the fat liquefaction under the inci- sion ;3 cases of postoperative foreign body sensation ; recurrence in 2 cases （ 3 sides ） , 1 case of bilateral infected and recurrence; 11 cases of local swelling incision;16 cases of incision with mild foreign body sensation. 8 days after operation all patients were discharged. Conclusion The no tension repair in the treatment of inguinal hernia had good effect and low recurrence