无张力疝修补术与Bassini修补术临床效果比较  

The Clinical Effect Comparison between Tension-Free Hernioplasty and Bassini Herniorrhaphy

作　　者：杨宝城 

机构地区：[1]天津市宝坻区宝平医院外科,天津301800

出　　处：《解放军医药杂志》2011年第2期28-29,共2页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

摘　　要：目的探讨无张力疝修补术的临床效果。方法将188例腹股沟疝随机分为观察组(86例)和对照组(102例),两组分别施行无张力疝修补术和Bassini修补术。比较两组手术时间、术后恢复情况、复发率及并发症发生率。结果两组手术时间、术后体温差异无统计学意义(P>0.05),术后下床活动时间、住院天数及术后疼痛发生率差异有统计学意义(P<0.05,P<0.01);观察组术后腹胀、尿潴留发生率及疝复发率低于对照组,差异有统计学意义(P<0.01,P<0.05),结论无张力疝修补术较Bassini修补术具有创伤小、恢复快、并发症少、复发率低的优点。Objective To investigate the clinical effect of tension-free hernioplasty.Methods A total of 188 patients with inguinal hernia who were randomly divided into two groups： observation group（n=86） treated with tension-free hernioplasty and control group（n=102） treated with Bassini Herniorrhaphy.The operating time,hospital stay,postoperative recovery state and complication rates,and recurrence rates in both groups were evaluated.Results There was no significant difference in the mean operation time and postoperative body temperature between the two groups（P0.05）,but there was significant difference in postoperative out-of-bed activity time,hospital stay and incidence rate of postoperative pain between the two groups（P0.05,P0.01）.The incidences of postoperative abdominal distension and urinary retention,and recurrence in observation group were significantly higher than that in the control group（P0.01,P0.05）.Conclusion Tension-free hernioplasty is a safer and more efficient method with low complications and recurrence rates,when compared with Bassini berniorrhaphy.

关 键 词：疝 腹股沟 无张力疝修补术 BASSINI修补术 对比研究 

分 类 号：R656.21[医药卫生—外科学]