疝环充填式、平片无张力及传统疝修补术的对比研究  

Comparative study of hernia ring filling, plain film tension and traditional hernia repair

作　　者：孟春鸣[1] 邓建宏[1] 杨钦清[1] 董芳[2] 

机构地区：[1]武警新疆总队医院普外科,新疆乌鲁木齐830091 [2]武警新疆总队医院消化呼吸科,新疆乌鲁木齐830091

出　　处：《中国现代医生》2013年第26期132-134,共3页China Modern Doctor

摘　　要：目的探讨不同手术方法治疗腹股沟疝的临床疗效及并发症情况。方法回顾性分析我院2009年1月～2012年1月收治的行疝环充填式无张力疝修补术患者32例的临床资料，设立为I组；另选择同期行平片式无张力疝修补术患者30例的临床资料，设立为Ⅱ组；另选择2008年1月～2009年1月行传统疝修补术患者28例的临床资料，设立为Ⅲ组，比较三组患者的手术时间、术后下床活动时间、平均住院时间、术后疼痛评分、术后术处牵扯感评分及并发症、复发情况。结果I组和Ⅱ组患者的手术时间、下床活动时间、住院时间分别明显短于Ⅲ组，但I组和Ⅱ组间比较，差异不显著；Ⅱ组术后患者的疼痛评分最低（1．98±0．34）分，I组和Ⅱ组的疼痛评分明显低于Ⅲ组，且Ⅱ组的疼痛评分明显低于I组；Ⅲ组术后术处牵扯感评分最高（3．93±0．16）分，明显高于I组和Ⅱ组，差异有显著性（P〈0．05）。Ⅲ组术后患者出现异物感、疼痛及尿潴留、复发例数均显著高于I组和Ⅱ组，I组和Ⅱ组术后无一例出现感染，Ⅱ组仅2例主诉疼痛较明显，2例出现异物感，均显著低于I组；I组和Ⅱ组术后出现阴囊血肿、尿潴留及复发方面比较，差异不显著。结论平片式无张力疝修补术和疝环填充式无张力疝修补术疗效相似，均较传统疝修补术具有手术操作简单、并发症少、复发率低等优点，但由于疝环充填式修补术的填充材料价格昂贵，基层医院难以推广，因此，平片式无张力疝修补术更适合基层医院推广应用。Objective To investigate the clinical efficacy of different surgical techniques in the treatment of inguinal hernia and complications. Methods A retrospective analysis of our hospital from January 2009 to January 2012 were rows hernia ring filling tension-free hernia repair in 32 patients with the clinical data,the establishment of group I , tber concomitant plain film tension-free hed rnia repair the chnical data of 30 patients, the establishment of group Ⅱ , as well as January 2008-January-line traditional hernia repair in 28 patients with the clinical data, the establishment of group m ,the three groups of patients with operative time,postoperative ambulation time, the average length of stay, postoperative pain scores, after surgery, involves being score and complications,recurrence. Results Group I and group II patients,the operation time,ambulation time, hospital stay was significantly shorter in Group Ⅲ, Group Ⅰ and Group Ⅱ were compared,no significant difference; group Ⅱ patients with postoperative pain scores lowest （1.98 0.34）,group I and group Ⅱ pain score was significantly lower than group Ⅲ and group U pain score was significantly lower than group Ⅰ ; the Ⅲ group after surgery involved at the highest being score （3.93± 0.16）, signif- icantly higher group I and group Ⅱ , the difference was significant （P 〈 0.05）. Group m patients after foreign body sensation, pain and urinary retention, recurrent cases were significantly higher than in group I and group Ⅱ,group Ⅰ and group Ⅱ, no case of postoperative infection, only 2 cases of group U complained of pain was obvious, cases of foreign body sensation,were significantly lower than in group I ; group I and group II after scrotal hematoma,uri- Mary retention and recurrence,the difference was not significant. Conclusion Flat Sheet tension-free hernia repair surgery and hernia ring filling tension-free hernia repair similar efficacy ,compared with the traditional hernia repair with simple operation, fewer complicatio

关 键 词：疝环充填式无张力疝修补术 平片式无张力疝修补术 传统疝修补术 并发症 

分 类 号：R656.2[医药卫生—外科学]