充填式无张力疝修补术临床观察

Clinical experience of tension-free hernioplasty for inguinal hernia

目的：探讨充填式无张力疝修补术治疗腹股沟疝的效果。方法回顾分析619例成年腹股沟疝患者行充填式无张力修补术的临床资料，观察疗效及并发症。结果患者术后第1天均能起床活动，切口疼痛多在1～2 d内消失，术后阴囊血肿3例，术后无切口感染、排斥反应，术后随访578例病例3个月至4年，无一复发，失访41例，随访率93．38％。结论采取充填式无张力疝修补术治疗腹股沟疝具有创伤小、术后恢复快、并发症少及低复发率等优点。

Objective To summarize the effect of tension-free hernioplasty for inguinal hernia .Methods Retrospective analysis of 619 cases of adult inguinal hernia underwent tension-free hernioplasty clinical data , curative effect and complications were observed .Results Patients could all get up 1 day after operation .Incisional pain was disappeared within 1-2days.Postoperative scrotal hematoma was found with 3 cases,no postoperative incision infec-tion,rejection.574 cases were followed up for 3 months to 4 years, there was no recurrence .Conclusion Adopting the method of Tension-free herniorrhaphy in treatment for inguinal hernia has the advantages of less trauma , faster postoperative recovery ,less complications and low recurrence rate etc .