基层医院成人腹股沟疝无张力修补术与传统腹股沟疝修补术临床疗效观察

Clinical Observation of Tension-free Inguinal Hernioplasty and Traditional Inguinal Hernioplasty for Adults in Grass-roots Hospitals

目的对比分析无张力修补术与传统腹股沟疝修补术治疗成人腹股沟疝的临床疗效。方法 2012年10月至2016年10月年我院收治腹股沟疝患者180例,患者根据手术方法不同,分为观察组(无张力疝修补术组)和对照组(传统疝修补术组),各90例,观察两组患者临床疗效。结果观察组与对照组均获痊愈,但术中出血量、手术时间及住院时间比较差异显著(P<0.05);观察组复发率及并发症发生率均低于对照组(P<0.05)。结论无张力疝修补术治疗腹股沟疝具有较传统修补术更理想的治疗效果,值得推广。

Objective To compare the clinical effects of tension-free hernioplasty and traditional hernioplasty in the treatment of adult inguinal hernia.Methods From October 2012 to October 2016,180 patients with inguinal hernia were treated in our hospital.According to different surgical methods,the patients were divided into observation group(tension-free hernia repair group)and control group(traditional hernia repair group)with 90 cases each.The clinical efficacy of the two groups was observed.Results The observation group and the control group were cured,but there were significant differences in bleeding volume,operation time and hospitalization time between the two groups(P<0.05).The recurrence rate and complication rate in the observation group were lower than those in the control group(P<0.05).Conclusion Tension-free hernioplasty for inguinal hernia has a better therapeutic effect than traditional hernioplasty,which is worth promoting.