腹股沟无张力疝修补的个体化150例治疗分析

ANALYSIS ON 150 CASES OF INGUINAL HERNIA TREATED BY TENSION-FREE HERNIA REPAIR

目的：对不同分型的腹股沟疝采用不同的无张力疝修补，并评价其疗效。逐步在临床工作中形成规范化治疗。方法回顾分析150例行无张力疝修补治疗腹股沟疝患者的临床资料。结果手术均成功完成，手术时间35～45min。患者伤口均一期愈合，无浆液血肿及感染发生。术后7d，选择修补手术方法组未诉疼痛和轻度疼痛患者的比例（98．7％）明显高于未选择修补手术方法组（93．4％）。术后随访2～24个月，无1例复发。结论应用腹股沟无张力疝修补的个体化治疗腹股沟疝安全有效，术后恢复快，近期疗效满意。个体化治疗腹股沟疝有助于临床规范化治疗。

Objective Different types of tension-free hernia repair were used to treat various types of inguinal hernia,and curative effect was evaluated for a standardized treatment in clinical practice.Methods The clinical data of 150 patients with inguinal hernia treated with tension-free hernia repair were retrospectively analyzed.Results All cases were operated successfully.The mean operation time was 35-45min.Wound healing in all patients discharged from hospital,without serous hematoma and infection.Seven days after surgery,the incidence of no pain and mild pain of experimental group （98.7%）was significantly higher than that in the control group （93.4%）.The patients were followed up 2-24 months after operation,no case recurred.Conclusion Tension-free hernia repair in inguinal hernia individually is an effective surgical method.The individual method is safe and effective,the post-operation recovery is quick and the result is satisfactory.Individual application of tension-free hernia repair in inguinal hernia contributes to standardized treatment.