传统疝修补术与平片无张力疝修补术治疗腹股沟疝的对比性临床研究

Clinical Comparison of Traditional Hemia Repair and Onlay Mesh Hernioplasty for Inguinal Hemia

目的:观察分析传统疝修补术与平片无张力疝修补术治疗腹股沟疝的临床疗效。方法:选取本院2013年9月-2015年9月收治的318例腹股沟疝患者作为研究对象,采用随机数表法将所有患者均分为两组,即对照组和观察组,每组159例。对照组患者给予传统疝修补术进行治疗,观察组患者给予平片无张力疝修补术进行治疗,比较两组患者的临床治疗总有效率、术中情况(术中出血量、出血率、切口长度、手术时间)、术后情况(疼痛评分、疼痛率、术后恢复时间、住院时间、住院经费)、并发症发生状况(异物感、阴囊水肿、切口感染、发热、神经性疼痛)及复发率。结果:对照组和观察组临床治疗总有效率分别为73.58%(117/159)和94.34%(150/159),比较差异有统计学意义(P<0.05);观察组患者术中出血量、出血率、切口长度、手术时间、疼痛评分、疼痛率、术后恢复时间、住院时间、住院经费均显著优于对照组,比较差异均有统计学意义(P<0.05);术后随访中观察组患者异物感、阴囊水肿、切口感染、发热、神经性疼痛发生率和复发率均显著低于对照组,比较差异均有统计学意义(P<0.05)。结论:平片无张力疝修补术治疗腹股沟疝的临床疗效显著,可显著降低复发率和并发症发生率,具有临床应用价值,可在临床上推广。

Objective： To research the clinical efficacy of traditional hernia repair and onlay mesh hernioplasty for inguinal hernia.Method： From Septemper 2013 to September 2015, 318 cases of patients with inguinal hernia in our hospital were randomly divided into the control group and the observation group, 159 cases in each group.The control group was given traditional hemia repair treatment while the observation group was given onlay mesh hernioplasty treatment.Clinical efficacy, amount of bleeding, rate of bleeding, length of incision, time of operation, score of pain, pain ratios, post operation time, hospital stays, money and complication of two groups were compared.Result： The total effective rate of clinical treatment in the control group and the observation group was 73.58% （ 117/159 ） and 94.34% （ 150/159 ） respectively, the difference was statistically significant （ P〈O.05 ） .In the observation group the amount of bleeding, rate of bleeding, length of incision, time of operation, score of pain, pain ratios, post operation time, hospital stays, money and complication were better than those of the control group, the differences were statistically significant （ P〈O.05 ） .Postoperative follow-up in the observation group of foreign body sensation, scrotal edema, incision infection, fever, neuropathic pain incidence and recurrence rate were lower than those of the control group, the differences were statistically significant （P〈0.05） .Conclusion： Onlay mesh hernioplasty is remarkable effect in the treatment of Inguinal hernia, and it has clinical value.