腹股沟疝腹膜前间隙修补对术后慢性疼痛的影响及分析  

The Analysis and Influence of Anterior Preperitoneal Space on Chronic Pain after Herniorrhaphy

作　　者：尹文涛 李鹏 赵维山 李汝红 

机构地区：[1]昆明市延安医院普外科,云南昆明650051

出　　处：《昆明医学院学报》2011年第5期90-92,98,共4页Journal of Kunming Medical College

摘　　要：目的探讨腹股沟疝腹膜前间隙修补对术后慢性疼痛的影响.方法回顾性分析2007年12月至2009年12月收治的368例腹股沟疝无张力修补术的患者临床资料,其中行腹膜前间隙修补术组175例,Rutkow术组193例,统计患者术后是否发生慢性疼痛及相关例数.结果术后慢性疼痛发生率,膜前间隙修补术组为3.4%(6/175),Rutkow术组为9.3%(18/193),两组比较差异有统计学意义(P<0.05).结论腹膜前间隙修补更加符合人体的解剖结构,且较Rutkow术明显降低术后慢性疼痛的发生率,是现代疝外科发展的方向.Objective To investigate the influence of anterior preperitoneal space on chronic pain after herniorrhaphy.Methods Retrospective study was used to analyze the experience of tension-free repair in 368 patients in Kunming Yan＇an Hospital from December 2007 to December 2009.175 patients received PHS procedure and 193 patients received Rutkow procedure.They are followed-up to know whether they have postoperative chronic pain.Result The incidence of chronic pain after herniorrhaphy was 3.4%（6/175）and 9.3%（18/193）in PHS group and Rutkow group,respectively,and there was a significant difference between the two groups（P〈0.05）.Conclusion Anterior preperitoneal space is more consistent with the anatomy of human body,and can significantly lower the incidence of chronic pain than Rutkow,which is the development direction of modern hernia surgery.

关 键 词：疝 腹股沟 慢性疼痛 疝修补术 

分 类 号：R656.2[医药卫生—外科学]