腹股沟疝充填式无张力修补术与传统修补术的对照研究.DOCVIP

临床医学论文-腹股沟疝充填式无张力修补术与传统修补术的对照研究 ????????????????? 作者：王秀廷， 房亚军， 孙洪涛， 刘鹏， 司炯 【摘要】? 目的 分析研究腹股沟疝充填式无张力修补术的临床应用价值和应用前景。方法 对1999～2006年间实施腹股沟疝充填式无张力疝修补与传统疝修补的两组病例（两组病例均为100例）在手术适应证、手术时间、术后疼痛程度、尿潴留、感染、初次下地时间、住院天数、恢复劳动能力时间、术后复发率等各方面进行对照分析研究。结果 腹股沟疝充填式无张力修补术较传统修补术具有适应证宽、手术时间短、术后疼痛轻、尿潴留少、术后复发率低、术后感染无增加、无排异反应及异物感等优点。结论 腹股沟疝充填式无张力修补术对腹股沟疝的解剖缺陷有针对性，符合生理，创伤小，修补快，并发症少，恢复快，复发率低，手术适应证宽，具有良好的临床应用价值和广泛的应用前景。 【关键词】? 腹股沟疝； 充填式无张力修补；　传统修补;对照研究 ??? 【Abstract】? Objective? To analysize and study of the application prospects and clinical values of mesh-plug tension-free repair on inguinal hernias.Methods?The two groups of patients was treated by?mesh-plug tension-free repair on inguinal hernias comparing with traditional repair (100 patients each) from 1999 to 2006. The study inclued the surgical indication, operation time, postoperative pain, urine retention,infections,primary under time, in hospital days, workability restore time ,the recurrence rate etc. Results?The mesh-plug hernia repair had a greater advantage than the traditional hernia repair procedure，such as the wider indications,shorter operation time,less postoperative pain, less urine retention, shorter workability restore time, the less rate of recurrence ,no more postoperative infections ,no rejection and uncomfortable feeling etc.Conclusion?Mesh-plug tension-free repair is aimed at the impairment of the anatomy of inguinal hernias, and accords with physiologic, less trauma , quicker repair, less neopathy, quicker recovery,less recurrence rate ,wider indications. Mesh-plug tension-free herniorrhaphy has the great clinical application values and great prospects in hospital. ??? 【Key words】? inguinal hernia; mesh-plug? tension-free repair;traditional repair; comparative study ??? 充填式无张力疝修补术是一种利用人工复合材料进行无张力修补疝的最新方法。充填式无张力疝修补术与传统疝修补术的理论基础和手术方法存在着极大的区别。本研究通过对1999～2006年间实施腹股沟疝充填式无张力疝修补与传统疝修补的两组资料进行对照分析，全面观察充填式无张力疝修补术的临床应用效果，阐述充填式无张力疝修补术的临床应用价值和应用前景。现报告如下。 ??? 1? 资料与方法 ??? 1．1? 一般资料? 无张力组(A组)：病例100例，男97例，女3例；年龄18～90岁，平均71.2岁；≥60岁