无张力疝修补术治疗腹股沟疝42例分析

Analysis of tension-free hernioplasty in the treatment of 42 inguinal hernia cases

目的探讨比较无张力疝修补术与传统疝修补术治疗腹股沟疝的疗效。方法 84例腹股沟疝患者根据患者意愿按照随机对照原则分为对照组和观察组,各42例。对照组采用传统疝修补术治疗,观察组采用无张力疝修补术治疗,对比分析两组疗效。结果观察组经无张力疝修补术治疗,下床活动时间及住院时间均明显短于对照组,差异具有统计学意义(P<0.05);观察组术后切口感染1例,阴囊血肿2例,尿潴留1例,切口疼痛2例,并发症发生率为14.29%,明显低于对照组的52.38%,差异具有统计学意义(P<0.05)。结论无张力疝修补术治疗腹股沟疝临床疗效确切,并发症少,术后患者身体恢复快,禁忌重体力劳动时间短,特别适合农村基层卫生院,值得临床推广应用。

Objective To explore and compare the curative effects of tension-free hernioplasty and traditional hernioplasty in the treatment of inguinal hernia. Methods A total of 84 patients with inguinal hernia were randomly divided into control group and observation group, according to their willingness. Each group contained 42 cases. The control group received traditional hernioplasty, and the observation group received tension-free hernioplasty. Curative effects of the two groups were compared. Results After treatment by tension- free hernioplasty, the observation group had obviously shorter ambulation time and hospital stays than those in the control group, and the difference had statistical significance （P〈0.05）. ,There were 1 case with postoperative incision infection, 2 cases with scrotum hematoma, 1 case with uroschesis, and 2 cases with incision pain. The incidence of complications was 14.29%, which was remarkably lower than 52.38% of the control group, and the difference was statistically significant （P〈0.05）. Conclusion Tension-free hernioplasty provides precise effect with few complications in the treatment of inguinal hernia. Patients have quick rehabilitation and short forbidden time of heavy physical labour after operation. This method is suitable for primary health center in rural area, and it is worthy of clinical promotion and application.