无张力补片修补法治疗疝气25例的临床疗效观察.docVIP

无张力补片修补法治疗疝气25例的临床疗效观察 　　摘 要：目的：观察无张力补片修补法治疗疝气的临床疗效，评价其临床应用效果，为今后临床治疗提供参考和借鉴。方法：本研究随机选取我院2011年2月～2013年2月期间收治的疝气患者50例，采用随机数字法将其分为对照组和观察组，对照组给予传统手术治疗，观察组则给予无张力补片修补法治疗，对比分析两组患者的治疗效果。结果：观察组术后下床活动时间、疼痛时间、住院时间均明显少于对照组（P0.05）；观察组的并发症率为12.00%明显少于对照组的36.00%（χ2=15.7895，P=0.0001）；随访6～9个月，观察组的复发率为4.00%明显少于对照组的20.00%（χ2=12.1212，P=0.0005），差异均有统计学意义。结论：无张力补片修补法治疗疝气能有效地减少患者痛苦，缩短疗程，降低并发症率及复发率，疗效显著且安全性高，值得在临床实践中广泛的应用和推广。 　　关键词：无张力补片修补法；疝气；并发症；复发 　　Abstract：Objective： To observe the clinical effect of tension-free repair repair method for treating hernia piece， and evaluate its clinical application effect， for the future and to provide reference for clinical treatment. Methods： in this study， 50 patients with hernia admitted in our hospital in 2011 February ～2013 year in February during the cases were selected and randomly divided into control group and observation group， control group was given conventional treatment， the observation group were treated with tension-free mesh repair of therapy， compared two groups of patients. Results： in the observation group， the time out of bed after operation， pain time， hospitalization time were significantly less than that of the control group （P 0.05）； observation group complication rate was 12% less than control group 36% （χ 2=15.7895， P=0.0001）； the follow-up of 6～9 months， the recurrence rate was 4% in the observation group was less than that of the control group of 20% （χ 2=12.1212， P=0.0005）， the difference was statistically significant. Conclusion tension free hernia patch repair method can effectively reduce the suffering of patients， shorten the course of treatment， reduce the complication rate and recurrence rate， obvious curative effect and high safety， which is worthy to be popularized widely in clinical practic 　　keyword：tension-free mesh repair method； hernia； complication； recurrence 　　疝气指的是患者组织或器官一部分离开了原来部位，经其间隙、缺损、薄弱等部位进入另一部位，临床主要包括了脐疝、斜疝、腹股沟直疝、手术复发疝、切口疝、白线疝、股疝等。该病的形成常和患者体质相关，多由喷嚏、咳嗽、用力过度、腹部过肥、妇女妊娠、老年腹壁强度退行性变等原因导致[1]。同