腹膜前间隙无张力疝修补术治疗复发性腹股沟斜疝的研究  

Study on preperitoneal tension-free hernioplasty in treatment of recurrent inguinal indirect hernia

作　　者：田杰 

机构地区：[1]湖北省来凤县中心医院,445700

出　　处：《齐齐哈尔医学院学报》2014年第6期847-849,共3页Journal of Qiqihar Medical University

摘　　要：目的探讨腹膜前无张力疝修补术治疗复发性腹股沟疝疗效。方法将40例复发性腹股沟疝患者按照手术方式分为对照组与观察组,对照组给予传统疝修补术手术进行治疗,观察组给予腹膜前无张力疝修补术进行治疗。比较两组手术时间、下床活动时间、住院时间、VAS评分及并发症发生率。结果观察组手术时间(65.5±12.7)min、下床活动时间(1.0±0.1)d、住院时间(4.4±2.0)d、VAS评分(1.5±0.1)明显小于对照组(t=6.036,12.905,5.895,8.913,P<0.05)。对照组并发症2例,观察组并发症1例。结论腹膜前无张力疝修补术治疗复发性腹股沟斜疝疗效显著,患者损伤小,术后恢复快,值得在临床推广应用。Objective To study the effect of preperitoneal tension-free hernioplasty in the treatment of recurrent inguinal indireet hernia. Methods 40 patients with recurrent inguinal indirect hernia according to the operation mode were divided into control group and observation group, patients in the control group were given traditional hemiorrhaphy treatment, patients in the observation group were given preperitoneal tension-free hernioplasty. The operative time, ambulation, hospitalization time, VAS scores and the incidence of complications were compared. Results The operative time was （65.5 ± 12.7 ） min, ambulation time was （ 1.0 ±0. 1 ） d, length of hospital stay was （ 4.4 ± 2. 0） d, VAS score was （ 1.5± 0. 1 ） in the observation group, significantly less than that in the control group （ t = 6. 036,12. 905,5. 895,8. 913, P 〈 0. 05 ）. There was two cases with complications in the control group, one case with complications in the observation group. Condusions There is significant effect, small injury, and rapid postoperative recovery for prcperitoneal tension-free hernioplasty. It is worthy of clinical application.

关 键 词：复发性腹股沟疝 无张力疝修补术 传统疝修补术 

分 类 号：R656.21[医药卫生—外科学]