无张力疝修补术与传统修补术治疗腹股沟疝的效果观察

Effect Observation of Tension--free Hernioplasty and Traditional Hernioplasty on Inguinal Hernia

目的：观察在腹股沟疝的治疗过程中无张力疝修补术和传统修补术的的应用效果比较。方法：选取我院2009年1月至2011年1月期间收治的腹股沟疝患者102例，随机平均分成观察组61例与对照组61例，对照组采用传统的疝修补术，观察组应用无张力疝修补术。观察两组患者治疗有效情况及患者手术、下床、住院时间，并比较术后疼痛情况与并发症等。结果：观察组患者在手术、下床及住院时间方面明显优于对照组，差异显著，且观察组共有35例中度以下疼痛患者，21例中度疼痛患者，5例中度以上疼痛患者。对照组共有27例中度以下疼痛患者，16例中度疼痛患者，18例中度以上疼痛患者，差异显著，具统计学意义。在复发率及并发症率方面，观察组也明显低于对照组。结论：相对于传统疝修补术，无张力修补术的操作更加简单、安全及迅速，且并发症少。

Objective： to observe the application effect of tension--free hernioplasty and traditional hernioplasty during the treatment of inguinal hernia. Method： 102 patients hospitalized in our hospital from January 2009 to January 2011 were randomized into the observation group and the control group with 61 patients each. The traditional hernioplasty was applied for the control group and the tenslon--free hernloplasty was applied for the observation group. The effec- tiveness, operation time, off--bed time and hospitalization duration were observed, and the postoperative pain and complications were compared. Results： the operation time, off--bed time and hospitalization duration of the observation group were obviously better than that of the control group, with significant differ- ence. In the observation group, 35 patients suffered from pain below the moderate, 21 patients suffered from the moderate pain and 5 patients suffered from pain above the moderate. In the control group, 27 patients suffered from pain below the moderate, 16 patients suffered from the moderate pain and 18 patients suf- fered from pain above the moderate. The difference was obvious with statistical significance. In respect of the rate of recurrence and complication, the observa- tion group was lower than the control group. Conclusion： Compared with the traditional hernioplasty, the tension-- free hernioplasty is simpler, safer and faster with less complications.