老年患者腹股沟斜疝不同手术方式的临床对比研究.docVIP

老年患者腹股沟斜疝不同手术方式的临床对比研究 　　【摘要】 目的：探讨无张力疝修补术治疗老年腹股沟斜疝的临床疗效。方法：回顾性分析2011年1-12月笔者所在医院行腹股沟修补术的老年患者80例临床资料，随机分为无张力组40例和传统组40例。无张力组采用疝环充填式无张力疝修补术治疗，传统组采用传统疝修补术治疗。比较两组的手术疗效、手术时间、术后下地时间、住院时间、术后疼痛评分、并发症发生率及复发率。结果：无张力组总有效率为97.5%，传统组总有效率为95.0%，两组比较差异无统计学意义（P0.05）；无张力组手术耗时、下地时间及住院时间均明显短于传统组（P0.05），术后疼痛、术后并发症发生率以及复发率均明显低于传统组（P0.05）。结论：疝环充填式无张力疝修补术治疗老年腹股沟斜疝的临床疗效显著，值得临床推广。 　　【关键词】 腹股沟斜疝； 无张力疝修补术； 老年 　　中图分类号 R656.2 文献标识码 B 文章编号 1674-6805（2014）12-0013-02 　　The Clinical Comparative Analysis of the Traditional Inguinal Hernia Repair and Tension-free Hernia Repair in the Treatment of Inguinal Hernia of Elderly Patients/ZHAO Xue-jing，QIAN Feng.//Chinese and Foreign Medical Research，2014，12（12）：13-14 　　【Abstract】 Objective：To investigate the clinical curative effect of tension-free hernia repair in the treatment of inguinal hernia of elderly patients.Method：To retrospective analyse the data of 80 cases of elderly patients proceed inguinal hernia repair surgery from January 2011 to December 2011，they were randomly divided tension-free group 40 cases and traditional group 40 cases.The tension-free group adopted hernia ring filling type tension-free hernia repair surgery treatment，the traditional group adopted the traditional hernia repair surgery treatment.To compare the curative effect，surgical operation time，postoperative down time，length of hospital stay，postoperative pain，incidence of complications and recurrence rate of two groups.Result：The total effect rate of the two groups had no significant difference（P0.05）；the operation time and down time，postoperative hospitalization time of tension-free group were significantly shorter than traditional group，postoperative pain score，complications and recurrence rate of tension-free group were significantly lower than the traditional group（P0.05）.Conclusion：The curative effect of hernia ring filling type tension-free hernia repair surgery in the treatment of elderly inguinal hernia is distinct，it is worth clinical promotion. 　　【Key wo