疝环填充式无张力疝修补在基层医院的应用  

Application of mesh plug tension-free repair of inguinal hernia in grass-roots hospital

作　　者：孟立俊 周理好[1] 

机构地区：[1]皖西卫生职业学院附属医院普外科,安徽省六安237005

出　　处：《中国基层医药》2014年第14期2125-2127,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的：评价在基层医院应用疝环填充式无张力修补腹股沟疝的临床价值。方法回顾性分析32例腹股沟疝患者采用网塞补片进行无张力修补（ A组）及28例传统疝修补（ B组）的临床资料。结果 A组平均手术时间（56．94 min）、术后住院时间（5．25 d）均较B组（69．61 min、5．96 d）短，差异有统计学意义（t＝-2．891、-3．284，均P＜0．05）；A组术后需止痛治疗（10例）及尿潴留发生例数（2例）均少于B组（19例、8例）（χ2＝8．014、5．357，均P＜0．05）。两组术后发生阴囊血肿各3例，差异无统计学意义（P＞0.05）。全部病例均获随访，随访时间20～40个月，随访期间A组无复发，B组2例复发。结论疝环填充式无张力修补治疗腹股沟疝手术时间短，恢复快，并发症少，复发率低，适合在基层医院推广应用。Objective To evaluate the clinical value of application of mesh plug tension-free repair of ingui-nal hernia in grass-roots hospital .Methods A total of 32 patients with inguinal hernia treated by benison-free ingui-nal herniorrhaphy with mesh plug and 28 patients treated with the traditional herniorrhaphy were retrospectively ana-lysed.Results The mean operation time and the postoperative hospital stay of group A were 56.94min and 5.25d, and those of group B were 69.61min and 5.96d,the mean operation time and the postoperative hospital stay of group A were significantly shorter than those of group B （t=-2.891、-3.284,all P〈0.05）.Patients needed postoperative analgesic therapy （10 cases） and patients suffered from urine retation （ 2 cases ） of group A were less than group B（χ2 =8.014,5.357,all P〈0.05）.There were 3 cases with postoperative scrotum hematoma in each group and they had no statistical difference for that（P〉0.05）.All cases received follow-up for 20-40 months,there were no recur-rence in group A during the follow-up period,but 2 cases recurrence in group B .Conclusion Mesh plug tension-free repair of inguinal hernia has the advantages of shorter operation time ,more rapid recovery ,less complications and low-er recurrence rate ,so it is suitable for popularization and application in grass-roots hospital .

关 键 词：疝 腹股沟 疝修补术 无张力 

分 类 号：R656.2[医药卫生—外科学]