疝气无张力修补术治疗高龄腹股沟疝患者的临床分析.docVIP

疝气无张力修补术治疗高龄腹股沟疝患者的临床分析 　　摘要：目的：探讨疝气无张力修补术治疗高龄腹股沟疝患者的临床疗效。方法：选取100例高龄腹股沟疝患者，随机进行分组；对照组采取填充式疝气无张力修补术治疗，而观察组采取平片式疝气无张力修补术治疗。结果：两组患者术后的白细胞、C-反应蛋白及白细胞介素表达水平均较术前升高，但对照组患者术后白细胞、C-反应蛋白及白细胞介素表达水平显著高于观察组（P0.05）；观察组术后VAS指数1.7±0.9、并发症发生率7.50%、复发率2.50%；对照组术后VAS指数1.7±0.9、并发症发生率7.50%、复发率2.50%；两组数据具有统计学差异（P0.05）。结论：平片式疝气无张力修补术治疗高龄腹股沟疝的疗效确切，可显著改善患者的预后，提高治疗的安全性，值得临床推广使用。 　　关键词：腹股沟疝；疝气无张力修补术；疗效 　　[Abstract] Objective： To investigate the curative effect of tension-free hernia repair in treatment of elderly patients with inguinal hernia. Methods： 100 cases of elderly patients with inguinal hernia were randomly grouped， the control group take filling； hernia tension-free repair treatment， and the observation group adopt flat plate hernia tension-free repair treatment. Results： the two groups of patients with postoperative white blood cells， C- reactive protein and interleukin expression levels were higher than those before the operation， while the control group of patients with postoperative white blood cells， C- reactive protein and interleukin expression levels were significantly higher in the observation group （P 0.05）； the patients in the observation group the VAS index of 1.7. 0.9， the incidence of complications was 7.50%， recurrence rate was 2.50%； the control group after operation， VAS index was 1.7 + 0.9， the incidence of complications was 7.50%， recurrence rate was 2.50%； two groups of data with statistical difference （P 0.05）. Conclusion： flat plate hernia tension-free repair effect for the treatment of elderly inguinal hernia is effective， can significantly improve the prognosis of patients， improve the safety of the treatment， which is worthy of clinical application. 　　Keywords： inguinal hernia； hernia tension-free hernia repair； curative effect 　　【中图分类号】R656.2+1 【文献标识码】A 【文章编号】1672-8602（2015）06-0002-02 　　随着年龄的增大，机体各项功能处于衰退状态，腹壁的耐压能力逐渐增小，导致高龄腹股沟疝的病发风险增大。高龄腹股沟疝是指腹股沟区腹壁薄弱，耐压能力小于腹腔内压时，在应激状态下腹膜平滑肌牵张缺损导致腹腔脏器突脱出形成疝。初期高龄腹股沟疝的疝气较小及病症特异性低，常呈可复性或滑动性及采取保守治疗，容易漏诊及错过最佳治疗期。高龄腹