疝环填充式和平片式无张力疝修补术治疗腹股沟疝的效果分析

Analysis on the Effects of Mesh-Plug Tension-Free Herniorrhaphy and Plain-Film Tension-Free Herniorrhaphy for the Treatment of Inguinal Hernia

目的分析疝环填充式和平片式无张力疝修补术治疗腹股沟疝的临床效果。方法选择2013年1月至2016年2月期间我院收治的82例腹股沟疝患者作为研究对象,按照手术方式的不同分为A组、B组,各41例。A组患者行疝环填充式无张力疝修补术,B组患者行平片式无张力疝修补术,比较两组患者的手术时间、住院时间、术中出血量、住院费用、并发症情况以及术后12个月的复发率。结果两组患者的住院时间、术中出血量比较,差异无统计学意义(P>0.05);A组患者的手术时间显著长于B组,住院费用显著高于B组,差异有统计学意义(P<0.05)。两组患者的并发症发生率和术后12个月的复发率比较,差异无统计学意义(P>0.05)。结论疝环填充式无张力疝修补术和平片式无张力疝修补术治疗腹股沟疝的临床效果相当,但后者花费少,手术时间短,适合应用于基层医院。

Objective To analyze the clinical effects of mesh-plug tension-free hemiorrhaphy and plain-film tension-free hemiorrhaphy for the treatment of inguinal hernia. Methods 82 cases of patients with inguinal hernia admitted to our hospital from January 2013 to February 2016 were selected as research objects. According to the surgical methods, all cases were divided into group A （mesh-plug tension-free herniorrhaphy） and group B （plain-film tension-free herniorrhaphy）, with 41 cases in each group. The operation time, length of hospital stay, intraoperative blood loss, hospitalization expense, complications and recurrence rate at 12 months after surgery were compared between two groups. Results No statistical difference was found between two groups in the length of hospital stay or intraoperative blood loss （P〉0,05）; The operation time of group A was significantly longer than that of group B, and the hospitalization expense was significantly higher than that of group B （P〈0.05）. No statistical difference was found between two groups in the incidences of complications or recurrence rate at 12 months after surgery （P 〉0.05）. Conclusions Mesh-plug tension-free herniorrhaphy and plain-film tension-free herniorrhaphy produce comparable clinical effects, but the latter has lower expense and shorter operation time, and is suitable for primary hospitals.