摘要
目的对比研究疝环充填式无张力疝修补术及经腹股沟切口腹膜前疝修补术后慢性疼痛的发生率及其严重程度。方法回顾性分析2009年1月至2013年6月,复旦大学附属华山医院宝山分院施行的疝环充填式无张力疝修补术198例(网塞组)、经腹股沟切口腹膜前疝修补术308例(腹膜前组)的临床资料,随访分析二种手术后慢性疼痛发生率,并对疼痛采用数字评分量表进行量化分析。结果术后慢性疼痛发生率:网塞组为9.9%(18/182),腹膜前组为3.1%(9/294),二组比较差异有统计学意义(χ2=9.80,P=0.002);疼痛评分:网塞组为(5.1±1.3)分,腹膜前组为(4.0±0.9)分,二组比较差异有统计学意义(t=2.43,P=0.02)。结论与疝环充填式修补术相比,腹膜前无张力修补术后慢性疼痛的发生率较低,且疼痛程度较轻。
Objective To compare the severity and incidence of chronic pain after trans-inguinal preperitoneal repair and mesh plug repair for primary adult inguinal hernia. Methods From January 2009 to June 2013,198 patients underwent mesh plug repair（ mesh-plug group） and 308 patients underwent transinguinal preperitoneal repair（ preperitoneal group）. The incidence and severity of chronic postoperative pain were analyzed with a numerical rating scale（ NRS）. Results Postoperative chronic pain was observed in9. 9% of patients（ 18 /182） in mesh-plug group vs 3. 1%（ 9 /294） in preperitoneal group（ χ^2= 9. 80,P =0. 002）; the NRS was（ 5. 1 ± 1. 3） in mesh-plug group and（ 4. 0 ± 0. 9） in preperitoneal group,respectively（ t = 2. 43,P = 0. 02）. Conclusion When compared with mesh-plug repair,trans-inguinal preperitoneal tension-free repair for inguinal hernia was associated with a lower incidence and lesser degree of chronic postoperative pain.
出处
《中华疝和腹壁外科杂志（电子版）》
2015年第1期43-45,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
疝修补术
疼痛
手术后
无张力
Hernia
inguinal
Herniorrhaphy
Pain
postoperative
Tension-free
