不同年龄段腹股沟斜疝行无张力疝修补的临床对照研究  

A clinical study of tension-free inguinal hernioplasty in patients with different ages

作　　者：张文斌[1] 梁中平[2] 郭国庆[3] 

机构地区：[1]暨南大学附属第一医院急诊科,广东广州510630 [2]暨南大学附属第一医院普外科,广东广州510630 [3]暨南大学医学院解剖教研室,广东广州510630

出　　处：《南方医科大学学报》2009年第5期952-953,958,共3页Journal of Southern Medical University

基　　金：国家重点基础研究发展973计划(2007CB512705)

摘　　要：目的探讨疝环充填式无张力疝修补术对不同年龄腹股沟斜疝的治疗效果。方法将190例腹股沟斜疝患者根据年龄分成两组:60岁以上和60岁以下组,比较每组手术效果及并发症。结果在60岁以上组,疝环充填式无张力斜疝修补术在手术时间、平均下床活动时间、疼痛、牵拉不适以及复发等并发症方面优于传统腹股沟斜疝修补术;而在60岁对以下组,并不优于传统腹股沟斜疝修补术。结论疝的治疗应根据个体化原则进行。Objective To study the application of mesh and hernia ring for tension-free hemia repair in inguinal hemioplasty in patients with different ages. Methods A total of 190 patients with inguinal hernia undergoing tension-free hemia repair were divided into two groups with age above and below 60 years, and the surgical effect and complications were compared. Results Tension-free hernia repair with mesh and hernia ring was superior to conventional hernia repair in terms of operative time, mean time for exercise and pain in patients above 60 years, but not in patients blow 60 years. Conclusion Surgical repair of inguinal hemia should be performed with individualized surgical plans.

关 键 词：腹股沟疝 疝修补术 无张力疝修补术 

分 类 号：R656.2[医药卫生—外科学]