不同方法治疗腹股沟疝的疗效对比研究  

The comparative study of the efficacy of different methods of treatment of inguinal hernia

作　　者：赵景林[1] 李晓萍[1] 李尚仁[1] 雷云鹏[2] 

机构地区：[1]广东省江门市中心医院普外科,广东江门529000 [2]北京大学深圳医院,广东深圳518036

出　　处：《中国现代医生》2013年第22期156-157,160,共3页China Modern Doctor

基　　金：广东省深圳市科技计划项目(201002058)

摘　　要：目的研究无张力疝修补术与传统疝修补术治疗腹股沟疝的疗效。方法 80例腹股沟疝患者随机分为观察组和对照组各40例。对照组行传统疝修补术,观察组行无张力疝修补术,比较两组的手术治疗效果。结果观察组患者的手术时间(61.12±15.08)min,明显短于对照组;观察组患者下床活动时间(16.5±3.1)h,明显早于对照组,观察组术后住院时间(7.23±1.62)d,明显少于对照组,上述指标组间比较,差异有显著性(P<0.05)。观察组患者术后无痛率达40.0%(16/40),对照组患者术后无痛率达20%(8/40)。随着患者疼痛程度的增加,观察组不同程度病例数均明显少于对照组,差异有显著性(P<0.05)。观察组并发症发生率明显低于对照组,差异有显著性(P<0.05)。观察组术后随访至今无一例复发,对照组复发率达12.5%,组间比较,差异有显著性(P<0.05)。结论无张力疝修补术的疗效明显优于传统疝修补术,具有术后恢复快、住院时间短、复发率低等优点,值得推广和应用。Objective To study the efficacy of tension-free hernia repair with traditional hernia repair inguinal herniatreatment. Methods Eighty cases of inguinal hernia patients were randomly divided into observation group and controlgroup of 40 cases. Control group underwent conventional hernia repair, Observation group underwent tension-free hernia repair, surgical treatment effect were compared. Results The patient＇s operative time （61.12±15.08） rain,was signif-icantly shorter than the control group; ambulation time observation group were （16,5±3.1） h, was significantly fasterthan the control group, the observation group postoperative hospital stay （7.23±1.62） d, significantly shorter in the control group, these indicators between the two groups, the difference was statistically significant （P 〈 0.05）. Postoperativepain observation group reached 40.0%（16/40）, the control group patients were painfree rate was 20%（8/ 40）. As thedegree of pain in patients with increased number of cases of the observation group were significantly different degreethan the control group, the difference was statistically significant （F 〈 0.05） .Observation group was significantly higherincidence of complications, the difference was statistically significant （P 〈 0.05） .Observation group were followed so farno recurrence, the recurrence rate was 12,5% in the control group between the two groups, the difference was statistically significant （P 〈 0.05）. Conclusion The tension-free hernia repair were significantly better than traditional herniarepair, with rapid postoperative recovery, shorter hospital stay, recurrence rate, etc., should be promoted and applied.

关 键 词：无张力疝修补术 传统疝修补术 并发症 疼痛 

分 类 号：R656.21[医药卫生—外科学]