不同手术方式治疗老年腹股沟疝的临床对比研究.docVIP

不同手术方式治疗老年腹股沟疝的临床对比研究 　　【摘要】 目的：探讨不同手术方式治疗老年腹股沟疝的临床疗效。方法：回顾性分析2009年6月-2014年6月在笔者所在医院择期手术治疗的老年腹股沟疝患者128例的临床资料，按照随机数字表法分为三组：A组（传统腹股沟疝高位结扎+修补术组），B组（填充式无张力修补术组），C组（PHS补片修补术组），观察三组患者手术时间、术后疼痛、切口红肿、阴囊积液及术后复发情况。结果：三组患者术后切口红肿和阴囊积液比较，差异均无统计学意义（P0.05）；B、C组手术时间较A组明显缩短，差异有统计学意义（P0.05）；A组术后疼痛发生率明显高于B、C组，差异有统计学意义（P0.05）。对三组患者术后随访3个月～5年，A组复发率明显高于B、C组，差异有统计学意义（P0.05）。结论：填充式无张力修补术和PHS补片修补术较传统腹股沟疝高位结扎+修补术有明显优势，填充式无张力疝修补术与PHS补片修补术疗效相当，操作简单，术后疼痛降低且恢复快，复发率低，临床效果满意。 中国论文网 /6/view-7165068.htm 　　【关键词】 手术方式； 老年； 腹股沟疝 　　中图分类号 R656.2 文献标识码 B 文章编号 1674-6805（2015）25-0012-03 　　【Abstract】 Objective：To investigate the clinical effects of different operation methods in the treatment of senile inguinal hernia.Method：The clinical data of 128 cases in our hospital from June 2009 to June 2014 for the treatment of elective surgery in elderly patients with inguinal hernia were retrospectively analyzed，they were randomly divided into three groups：group A（traditional inguinal hernia ligation+repair group），group B（filling tension-free hernia repair group），group C（the PHS patch surgery group），operation time，postoperative pain，wound infection，hydrocele and postoperative recurrence of three groups were observed.Result：The incision swelling and scrotal hydrocele of three groups were compared，there was no statistical significance（P0.05）.The operation time of B，C group was significantly shorter than that of group A，there was statistical significance（P0.05）.The postoperative pain incidence of group A was significantly higher than those of group B and group C，there was statistical significance（P0.05）.The patients of three groups were followed up from 3 months to 5 years，the recurrence rate of A group was significantly longer than those of group B and group C，there was statistical significance（P0.05）.Conclusion：filling tension-free hernia repair and PHS patch herniorrhaphy for inguinal hernia compared with traditional high ligation+repair has the obvious superiority，filling tension-free hernia repair with the PHS