无张力疝气修补术和传统腹股沟疝修补术治疗腹股沟疝的效果及复发率分析

Analysis of effect and recurrence rate of tension free hernia repair and traditional inguinal hernia repair for the treatment of inguinal hernia

目的探究无张力疝气修补术与传统腹股沟疝修补术在治疗腹股沟疝(IH)中的治疗效果及对术后复发率的影响。方法 84例腹股沟疝患者,采用随机数字表法分为对照组和研究组,每组42例。对照组行传统腹股沟疝修补术,研究组则予以无张力疝气修补术治疗,统计两组患者术后并发症情况、各时间指标、术后视觉模拟评分法(VAS)评分及术后复发情况。结果研究组患者的手术时间(36.51±12.05)min、首次下床活动时间(2.13±1.60)h、术后VAS评分(4.76±1.52)分及住院时间(3.55±1.74)d均优于对照组的(46.77±6.25)min、(4.35±1.79)h、(6.19±1.78)分、(5.35±2.19)d,差异具有统计学意义(t=4.90、5.99、3.96、4.17,P<0.05)。研究组患者的术后并发症发生率为7.14%(3/42),显著低于对照组的33.33%(14/42),差异具有统计学意义(χ~2=8.92,P<0.05);研究组术后复发率2.38%明显低于对照组的16.67%,差异具有统计学意义(χ~2=4.97,P<0.05)。结论无张力疝气修补术较传统腹股沟疝修补术安全性与疗效均更优,建议将其作为临床首选。

Objective To investigate the treatment effect of tension free hernia repair and traditional inguinal hernia repair for the treatment of inguinal hernia（IH）, and its influence on postoperative recurrence rate. Methods A total of 84 inguinal hernia patients were divided by random number table method into control group and research group, with 42 cases in each group. The control group was treated with traditional inguinal hernia repair, and the research group was treated with tension free hernia repair. Comparison were made on postoperative complications, all time points indicators, postoperative visual analogue scale（VAS） score and postoperative recurrence situation between the two groups. Results The research group had operation time as（36.51±12.05） min, first time off-be activity time as（2.13±1.60） h, postoperative VAS score as（4.76±1.52） points and hospitalization time as（3.55±1.74） d, which were all better than（46.77±6.25） min,（4.35±1.79） h,（6.19±1.78） points and（5.35±2.19） d in the control group, and the difference was statistically significant（t=4.90, 5.99, 3.96, 4.17, P〈0.05）. The research group had obviously lower incidence of postoperative complications as 7.14%（3/42） than 33.33%（14/42） in the control group, and the difference was statistically significant（χ~2=8.92, P〈0.05）. The research group had obviously lower postoperative recurrence rate as 2.38% than 16.67% in the control group, and the difference was statistically significant（χ~2=4.97, P〈0.05）. Conclusion Compared with traditional inguinal hernia repair, tension free hernia repair shows better safety and efficacy, and it is recommended to be the first choice in clinic.