无张力疝修补术与传统疝修补术疗效比较研究

The efficacy comparison of tension-free hernioplasty with the traditional hernia repair

目的比较分析无张力疝修补术与传统疝修补术的临床疗效,旨在为疝修补术提供进一步的理论支持。方法将2009年12月～2012年1月我院35例行无张力疝修补术患者设立为A组,另选择同期35例行传统疝修补术患者设立为B组,比较两组的临床手术观察指标、并发症及复发情况。结果与B组比较,A组手术时间短、术中出血量少,术后下床活动时间早、术后住院时间短、术后并发症少,复发率低,差异有统计学意义(P<0.05)。结论无张力疝修补术拓宽了手术适应证,手术操作简单,与传统疝修补术相比具有创伤小、恢复快、并发症少和复发率低的优点,值得基层医院推广和应用。

Objective To compare tension-free hernia repair with traditional hernia repair,and to provide further theoretical support for the hernia repair. Methods Thirty-tlve cases tension-free hernia repair with established as a group A, and the other the same period 35 routine traditional hernia repair in patients with established group B from December 2009 to Jan uary 2012 in our hospital, clinical surgery observed indicators, complications and recurrence were compared between two groups. Results Compared with group B, group A had shorter operative time, less blood loss, postoperative ambulation activi ties earlier, shorter postoperative hospital stay, fewer complications, lower recurrence rate, the difference was statistically significant （P 〈 0.05）. Conclusion The tension-free hernia repair to broaden the surgical indications has simple operation, with less trauma, quicker recovery, fewer complications and lower recurrence rate advantages, it is worth the extensive pro motion and application of the primary hospital and traditional hernia repair.