嵌顿性腹股沟疝无张力修补(腹膜前修补)的临床治疗分析

Clinical analysis on tension-free repair in treatment of incarcerated inguinal hernia

目的观察无张力修补术(腹膜前修补)治疗嵌顿性腹股沟疝的临床效果。方法回顾性分析收治的80例嵌顿性腹股沟疝患者的临床资料,其中,对照组40例患者采用传统Bassini修补术治疗,观察组40例患者采用无张力修补术(腹膜前修补)治疗,比较两组患者的临床手术效果和并发症的发生情况。结果观察组的平均手术时间、平均下床时间等均明显短于对照组,且观察组无一例复发患者,明显优于对照组,且差异均有统计学意义(P<0.05),同时,观察组并发症发生率为20.0%,明显低于对照组患者(P<0.05)。结论无张力疝修补术(腹膜前修补)治疗嵌顿性腹股沟疝具有较大的优势,有利于患者病情的恢复,值得临床广泛推广和应用。

Objective To observe the clinical effect of tension - free repair in treatment of incarcerated inguinal hernia. Methods The clinical data of 80 patients with incarcerated inguinal hernia were retrospectively analyzed , they were divided into two groups, 40 patients in con- trol group were treated with traditional Bassini repairing procedures and 40 patients in observation group were treated with tension - free repairing procedures （ preperitaneal repair）. Clinical effect of operation and incidence of complications were compared between these two groups. Results The mean operating time, the average bed time etc. in observation group were significantly shorter than those of control group, and their difference was statistically significant （ P 〈 0.05 ）. At the same time, rate of complications in patients of observation group was 20.00%, it was significantly lower than that of patients in control group （ P 〈 0.05 ）. Conclusion The tension - free hernia repair （ preperitoneal repair ） for treatment of in- carcerated inguinal hernia has more advantages, and it is beneficial to the recovery of patient~ condition and it is worthy for widespread promotion and application.