不同方式无张力疝修补术治疗腹股沟疝气的临床疗效分析

Clinical Analysis of Different Ways of Tension-free Herniorrhaphy in the Treatment of Inguinal Hernia

目的探讨腹股沟疝气以超普网和聚丙烯修补网进行无张力疝修补术治疗的临床效果。方法方便选取2015年10月—2017年5月该院150例腹股沟疝气患者为研究对象,依据治疗方法不同分为实验组(强生超普网片无张力疝修补术,75例)和对照组(华利普医用聚丙烯修补网片无张力疝修补术,75例),对比观察两组疗效,统计并发症与复发率。结果两组手术成功率均为100.00%,随访复发率0.00%,疗效相当。实验组随访期间腹股沟区异物不适2例(2.67%),未见慢性疼痛0.00%,并发症发生率低于对照组,差异有统计学意义(χ~2=5.832,P<0.05;χ~2=3.051,P<0.05)。结论以超普网和聚丙烯修补网进行无张力疝修补术治疗腹股沟疝气效果确切,可有效预防复发,其中前者术后异物不适与慢性疼痛少,患者舒适度高,更具临床推广价值。

Objective To investigate the clinical effect of tension-free hernioplasty with ultrasonography and polypropylene mesh for inguinal hernia.Methods From October 2015 to May 2017,150 patients with inguinal hernia in our hospital were convenient selected as experimental subjects.According to different treatment methods,they were divided into experimental group(Qiangsheng Chaopu mesh tension-free hernia repair,75 cases)and control group(Huali General medical polypropylene repair mesh tension-free hernia repair,75 cases),comparative observation of the two groups of efficacy,statistical complications and recurrence rate.Results The success rate of the two groups was 100.00%.The recurrence rate was 0.00%after 1 year follow-up.The curative effect was similar.There was no significant difference in the basic operation index between the two groups(P>0.05).During the follow-up period,2 cases(2.67%)had abnormal sensation in the inguinal region,and no chronic pain was found.The incidence of complications in the experimental group was lower than that in the control group(χ^2=5.832,P<0.05;χ^2=3.051,P<0.05).Conclusion Tension-free hernioplasty with polypropylene mesh and ultrasound mesh is effective in the treatment of inguinal hernia,which can effectively prevent recurrence.The former has less postoperative foreign body discomfort and chronic pain,high comfort and more clinical value.