疝环充填式无张力修补老年腹股沟疝的临床对照研究

A comparison between conventional hernia repair and tension-free plug repair in hernioplasty

目的 评价疝环充填式无张力疝修补术治疗老年腹股沟疝的临床价值。方法 选择 6 0岁以上老年腹股沟疝 2 18例 ,分别用 Mc Vay法 (对照组 )和疝环充填式无张力疝修补法 (实验组 )进行修补 ,术后经过 1～ 3年随访。结果 对照组疝复发16例 ,局部积液或阴囊血肿 10例 ,术后下床时间超过 3天 ,70例下床后不能直立行走 ,平均手术时间 45分钟。实验组疝复发1例 ,局部积液及阴囊血肿 4例 ,术后下床时间为 1天 ,3例 3天后下床不能直立行走 ,平均手术时间 30分钟。两组差别显著 ,两组复发率 χ2检验 P<0 .0 0 5。结论 疝环充填式疝修补术具有操作简单、局部无张力、痛苦小、省时、复发率低 。

Objective To evaluate the curative effect of tension-free plug hernia repair in hernioplasty in senlie patient with inguinal hernia Methods All 218patients were more than 60 years old,They Were with McVay repair (control group)and with plug repair (experimental group) The following-up time was 1to 3 years Results In control group,16 cases repaired and there were 10 cases with local drpsy or scrotum hematoma The general recover tine was 3 days and70 couldn't walk mnormally after operation The mean operative time was 45 minutes In ecperimental group,only one relapsed and 4 had lcal dropsy or scrotum hematoma The general recover time was 1 day and 3 couldn't walk normally 3 days after operation There was a significant curative effect difference between the two group and recurrence rate was too toχ 2exam(p<0 005) Conclusion The plug reppair has the advantage of easy operation, short operative time,local tension-free,little postoperatively dscomfort,repair recover and low recurrence rate So it is suitable for senile patients complicated with multi-organ disease,especially those with thin or large defect of fascia transversalis