平片式修补与疝环充填式修补在无张力疝修补术中的疗效比较.docVIP

平片式修补与疝环充填式修补在无张力疝修补术中的疗效比较 　　doi：10.3969/j.issn.1007-614x.2014.20.19 　　摘 要 目的：分析研究平片式修补与疝环充填式修补在无张力疝修补术中的应用疗效。方法：2009年1月-2013年12月收治无张力疝修补术患者38例，作为研究对象，根据手术方法的不同将其分为平片式修补组和疝环充填式修补组，各19例。对比两组手术、下床活动、住院时间以及术后并发症情况。结果：疝环充填式修补术组手术时间、下床活动时间、住院时间以及术后并发症均明显低于平片式修补术组，差异具有统计学意义（P0.05）。结论：疝环充填式修补手术时间短、患者康复快、对患者创伤小、术后并发症少，实施安全、可靠，值得推广应用。 　　关键词 平片式修补 疝环充填式修补 无张力疝修补术 应用对比 　　Curative effect comparison of flat sheet type repair and hernia ring filling type repair in tension-free hernioplasty 　　Du Ye 　　Department of Surgery，Qianqiao Community Health Service Center of Huishan District，Wuxi City，Jiangsu 214151 　　Abstract Objective：To analyze and study the application effects of flat sheet type repair and hernia ring filling type repair in tension-free hernioplasty.Methods：38 cases with tension-free hernioplasty were selected from January 2009 to December 2013.They were as the research objects.According to the different operation methods，they were divided into the flat sheet type repair group and the hernia ring filling type repair group with 19 cases in each.The operation，out-of-bed activity，hospitalization time and postoperative complication of the two groups were compared.Results：The operation，out-of-bed activity，hospitalization time and postoperative complication of the hernia ring filling type repair group were significantly lower than those of flat sheet type repair group.The difference was statistically significant（P0.05）.Conclusion：The hernia ring filling type repair has short operation time，quick recover of patients，small trauma and less postoperative complications.Its implementation is safe and reliable.It is worthy of popularization and application. 　　Key words Flat sheet type repair；Hernia ring filling type repair；Tension-free hernioplasty；Application comparison 　　腹股沟疝是因腹壁肌肉强度降低，腹内压力增高引发的，多病发于老年患者，是普外科常见疾病之一[1]。该病大多采取手术治疗，见效快、对患者伤害较小。近年来，我院对该病患者实施疝环充填式无张力疝修补术，临床疗效显著，现报告如下。 　　资料与方法 　　2009年1月-2013年12月收治无张力疝修补术腹股沟疝患者38例，作为研究对象。其中男25例，女13例，年龄41～76岁，平均（57.2±9.58）