无张力修补术后慢性疼痛病因分析及治疗

Etiology analysis and treatment of chronic pain after tension-free hernia repair

目的探讨传统疝修补术与无张力疝修补术后,患者疼痛的病因分析与临床治疗方法。方法回顾性分析2008年1月至2012年12月,北京市密云县中医医院收治的腹股沟疝患者300例。将300例患者随机分为二组,每组各150例。观察组采用无张力疝修补术,对照组采用传统疝修补术。分析二组术后疼痛发生率。结果观察组疼痛发生率为4.1%(6/150),对照组疼痛发生率为12%(18/150),二组比较差异有统计学意义(χ2=15.60,P=0.02)。结论无张力疝修补术可明显降低腹股沟疝修补术后慢性疼痛的发生率。

Objective To explore the etiology and clinical treatment of patients following traditional hernia repair and tension-free hernia repair.Methods From January 2008 to December 201 2,a total of 300 cases of inguinal hernia patients admitted to Migun Traditional Chinese Medicine Hospital, were retrospectively analyzed and divided into two groups randomly.Each of the two groups （tension-free hernia repair in observation group,traditional repair as control）consisted of 1 50 cases.Incidence of postoperative pain was recorded in both groups.Results Observation group had a pain rate of 4.1% （6/1 50）,and in control group that was 1 2% （1 8/1 50）.There was significant difference between two groups （χ2 =1 5.60, P=0.02）.Conclusion Tension-free hernia repair can significantly reduce the incidence of chronic pain after inguinal herniorrhaphy.