无张力疝修补术治疗老年复发性腹股沟疝患者的综合疗效观察  

Clinical effect of tension-free hernioplasty in the treatment of elderly patients with recurrent inguinal hernia

作　　者：高波 GA O Bo(Department of General Surgery,People＇s Hospital of Baota District in Yanan City,Yanan 716000 ,China)

机构地区：[1]宝塔区人民医院普外科,陕西延安716000

出　　处：《延安大学学报（医学科学版）》2016年第3期19-21,共3页Journal of Yan'an University:Medical Science Edition

摘　　要：目的分析无张力疝修补术治疗老年复发性腹股沟疝患者的综合疗效。方法选取2015-01~2016-04期间在宝塔区人民医院诊治的老年复发性腹股沟疝患者120例作为研究对象,随机分为三组,A组采用Lichtenstein无张力疝修补术,B组采用Rutkow无张力疝修补术,C组采用传统的Bassini疝修补术;观察三组预后情况。结果比较患者的术后下床时间与术后住院天数,A组与B组都明显少于C组,同时A组也较B组天数少（P〈0.05）;在术后14 d并发症发生率方面,A组与B组均明显少于C组,且A组少于B组（P〈0.05）。结论无张力疝修补术治疗老年复发性腹股沟疝疗效显著,相对于Rutkow手术和Bassini手术,Lichtenstein手术具有更好的微创性,能减少术后并发症的发生,更具临床优势。Objective To analyze the clinical effect of tension- free hernioplasty in the treatment of elderly patients with recurrent inguinal hernia. Methods 120 cases of elderly patients with recurrent inguinal hernia diagnosed in our hospital from January 2015 to April 2016 were selected and randomly divided into three groups. A group was given Lichtenstein＇s tension free repair,B group with Rutkow tension free repair,C group with traditional Bassini hernia repair. The prognoses of the three groups were observed. Results In the postoperative bed time and postoperative hospital days,A group and B group were significantly lower than C group,while the level of A group was also lower than the B group（ P〈0. 05）. In the incidence of postoperative complications of 14 d,A group and B group were significantly less than C group,and the A group was less than B group（ P〈0. 05）. Conclusion The effect of tension- free hernioplasty in the treatment of elderly patients with recurrent inguinal hernia was obvious,compared with Rutkow and Bassini,Lichtenstein,which has a better minimally invasive and can reduce the incidence of postoperative complications,with more clinical advantages.

关 键 词：无张力疝修补术 老年复发性腹股沟疝 并发症 LICHTENSTEIN术 

分 类 号：R656.2[医药卫生—外科学]