无张力疝修补术治疗腹股沟疝402例.docVIP

无张力疝修补术治疗腹股沟疝402例 　　[摘要] 目的 评价无张力疝修补术治疗腹股沟疝的临床疗效。 方法 回顾性分析2008年1月～2012年12月我院行开放式腹股沟疝无张力修补术治疗腹股沟疝402例的临床资料，对不同术式的手术时间、术后疼痛、切口感染、切口血肿以及术后疝复发等相关并发症进行观察和总结。 结果 统计中无手术死亡病例，术后短期出现切口下血肿3例，切口脂肪液化6例，血肿4例，切口感染4例，随访中有1例术后5个月疝复发，2例术后出现慢性轻度疼痛， 1例患者出现睾丸疼痛。Lichenstein术的近期和远期并发症均显著地大于Rutkow术（P0.05）。 结论 开放式无张力疝修补术治疗腹股沟疝安全有效，同时具有创伤小，恢复快，住院时间短，复发率低及术后并发症少等优点，合理的术式选择和规范化操作可以获得良好的治疗效果。 　　[关键词] 腹股沟疝；无张力疝修补术 　　[中图分类号] R656.2 [文献标识码] B [文章编号] 2095-0616（2013）14-160-03 　　402 cases report of without tension hernia repair in treatment of inguinal hernia 　　YANG Dongfang ZHAO Guangfeng 　　Department of General Surgery， Huaiyuan County Second Peoples Hospital of Anhui Province， Huaiyuan 233400， China 　　[Abstract] Objective To evaluate the clinical curative effect without tension hernia repair in treatment of inguinal hernia. Methods The clinical data of 402 cases of inguinal hernia given open without tension hernia repair from January 2008 to December 2012 in our hospital were retrospectively analyzed， the related complications such as operation time of different operative methods， postoperative pain， infection of incision，incision hematoma and postoperative hernia recurrence， were observed and summarized. Results There were no the no surgical deaths， postoperative 3 cases appeared under the incision hematoma， 6 cases had the fat liquefaction of incision， 4 cases had seroma， 4 cases had infection of incisional wound， 1 case of postoperative follow-up may hernia recurrence， 1 case had chronic mild pain， and 1 case had testicular pain after surgery. The recent and forward complication rate in Lichenstein were significant higher than those in Rutkow （P0.05）. Conclusion Open without tension hernia repair in treatment of inguinal hernia is safe and effective，at the same time have the advantages of small trauma， rapid recovery， short hospitalization time， low recurrence rate and less postoperative complications， the reasonable operation type and standardized operation can obtain good therapeu