无张力疝修补术治疗急性嵌顿性腹股沟疝的疗效观察  

Efficacy of tension- free hernioplasty in treating acute incarcerated inguinal hernia

作　　者：郭善红 付继勇 

机构地区：[1]广东省惠州市博罗县石坝镇卫生院普外科,516153 [2]广东省惠州市中心人民医院普外科,516001

出　　处：《齐齐哈尔医学院学报》2015年第23期3531-3532,共2页Journal of Qiqihar Medical University

摘　　要：目的探讨急性嵌顿性腹股沟疝采用无张力疝修补术的疗效及安全性。方法选取60例急性嵌顿性腹股沟疝患者,随机分为观察组（n=26）与对照组（n=24）,分别给予无张力疝修补术与传统Bassini方法治疗,比较两组患者手术时间、住院时间、术后并发症及复发情况。结果观察组患者手术时间、术后住院时间均明显短于对照组,差异有统计学意义（P〈0.05）;术后并发症发生率在两组患者间比较差异无统计学意义（P〉0.05）;术后进行6~18个月的随访,观察组复发1例（3.85%）,对照组复发2例（8.33%）,两组复发率比较差异无统计学意义（P〉0.05）。结论急性嵌顿性腹股沟疝采用无张力修补术治疗具有手术时间短、术后恢复快的优点,且术后感染等并发症的发生并没有增加,因而是安全、可行的。Objective To investigate the clinical efficacy and safety of tension- free hernioplasty in treating acute incarcerated inguinal hernia. Methods 60 patients with acute incarcerated inguinal hernia were randomly divided into two groups（ n = 26） and control group（ n = 24）,they were treated with tension- free hernioplasty and conventional Bassini method respectively. The operative time,hospital stay,postoperative complications and recurrence of the two groups were compared. Results The operation time and postoperative hospital stay in the observation group were significantly shorter than the control group,the differences were statistically significant（ P〈0. 05）. There were no significant difference in postoperative complication rate between the two groups（ P〈0. 05）. After followed up for 6 to18 months,the recurrence ratio in the observation group was 3. 85%,and that was 8. 33% in the control group,and it showed no significant difference（ P〉0.05）. Conclusions The application of tension- free hernioplasty in treating acute incarcerated inguinal hernia has the advantages including shorter operative time and recover quickly,however,the postoperative infection and other complications rate does not increase,it is safe and feasibly.

关 键 词：腹股沟疝 无张力修补术 补片 并发症 

分 类 号：R656.21[医药卫生—外科学]