后入路无张力疝修补术治疗复发性腹股沟疝患者的临床疗效

Evaluate the Efficacy and Safety of Posterior Approach Tension-free Hernia Repair to Recurrent Inguinal Hernia

目的探讨后入路无张力疝修补术治疗复发性腹股沟疝患者的有效性和安全性。方法选取2013年5月至2014年5月医院治疗的复发性腹股沟疝患者资料88例,按治疗方法不同随机分为观察组与对照组,每组44例。观察组患者实施后入路无张力疝修补术进行治疗,对照组患者实施前入路无张力疝修补术进行治疗。比较两组患者的治疗效果。结果手术后观察组患者的疼痛视觉模拟量表评分为(1.8±0.5)分,低于对照组的(3.3±0.9)分,差异有统计学意义(P<0.05)。观察组患者手术时间与住院时间分别为(47.4±2.8)min和(6.1±0.7)d,均低于对照组的(53.1±3.0)min和(7.4±1.2)d,差异有统计学意义(P<0.05)。观察组手术后并发症发生率与复发率分别为15.9%和0.0%,均低于对照组的52.3%和13.6%,差异有统计学意义(P<0.05)。结论后入路无张力疝修补术治疗复发性腹股沟疝手术效果好、并发症少、复发率低,具有很好的有效性与安全性。

Objective To evaluate the efficacy and safety of posterior approach tension-free hernia repair to recurrent inguinal hernia.Methods During the time of May 2013 to May 2014,88 patients with recurrent inguinal hernia in our hospital were selected and divided into group A and B with 44 patients in each group based on the methods of treatment.Giving posterior approach tension-free hernia repair to the patients in group A and giving anterior tensionfree hernia repair to the patients in group B.To observe and compare the effects of the groups A and B.Results The total VAS scores of group A was（1.8±0.5）,which was lower than（3.3±0.9） in group B,and the difference was statistically significance（P〈0.05）.The mean operation time and hospital stay time in group A were（47.4±2.8） min and（6.1±0.7）d respectively,which were less than（53.1±3.0）min and（7.4±1.2）d in group B,and the difference were statistically significance（P〈0.05）.The overall complication rate and recurrence rate of group A were 15.91%and 0.0%,which were less than 52.3% and 13.6% in group B,and the difference were statistically significance（P〈0.05）. Conclusion It has the advantage of better operations,less complications and recurrence rate for posterior approach tension-free hernia repair to treat the patients with recurrent inguinal hernia,which has better efficacy and safety and worthy of clinical application.