腹股沟复发疝患者应用无张力疝修补术的疗效分析

Efficacy analysis of tension-free inguinal hernia repair in patients with recurrent hernia

目的:探讨腹股沟复发疝患者应用无张力疝修补术的临床疗效。方法:收治腹股沟复发疝患者80例,随机分成对照组和观察组各40例,观察组采用无张力疝修补术进行治疗,对照组则采用传统疝修补术进行治疗。结果:观察组手术时间(47.8±8.9)分,术后疼痛持续时间(3.1±0.9)天,住院时间(5.2±0.5)天,下床活动时间(15.2±2.1)天;对照组手术时间(58.6±11.1)分,术后疼痛持续时间(5.9±1.4)天,住院时间(7.6±1.1)天,下床活动时间(24.4±3.7)天,两组比较差异有统计学意义(P<0.05)。观察组复发1例,复发率4.0%;对照组复发3例,复发率12.0%,两组比较差异有统计学意义(P<0.05)。结论:腹股沟复发疝患者应用无张力疝修补术的治疗效果好,复发率低。

Objective:To investigate clinical efficacy of inguinal hernia recurrence in patients with tension-free hernia repair. Methods:From February 2010 to August 2013,80 patients with recurrent inguinal hernia were randomly divided into a control group and observation group,40 patients in the observation group using tension-free hernia repair treatment,the control group performed traditional hernia repair treatment.Results:The observation group operative time was(47.8±8.9) min,postoperative pain duration(3.1±0.9) days,the length of stay(5.2±0.5) days and ambulation(15.2±2.1) days;the control group operative time was(58.6±11.1) points,postoperative pain persists time of(5.9±1.4) days,the length of stay(7.6±1.1) days and ambulation(24.4±3.7) days,and there was a significant difference between two groups(P<0.05).observation group one case of recurrence,the recurrence rate was 4.0%,in the control group relapsed 3 cases,the recurrence rate was 12.0%,the two groups had significant difference(P<0.05).Conclusion:The treatment of tension-free inguinal hernia repair in patients with recurrent hernia,it works well and have low recurrence rate,worthy of promotion.