无张力疝修补术与传统疝修补术治疗腹股沟斜疝的临床疗效比较.docVIP

精品论文 参考文献 无张力疝修补术与传统疝修补术治疗腹股沟斜疝的临床疗效比较 徐进波　 　　（江苏省连云港市赣榆区厉庄中心卫生院 江苏 连云港 222121） 　　【摘要】目的：探讨基层医院无张力疝修补术与传统疝修补术治疗腹股沟斜疝的临床疗效分析比较。方法：选取76例腹外斜疝患者，分别进行无张力疝修补术与传统疝修补术。结果：无张力疝修补术所需要的时间、术后住院时间、疼痛持续时间优于对照组，同时疼痛发生率、并发症率、1年内复发率也低于对照组，两组患者的治疗效果比较具有明显差异，Plt;0.05。结论：基层医院在治疗腹股沟斜疝时，可以采用无张力疝修补术进行手术治疗，能有效改善患者治疗效果，提高预后质量，获得非常理想的治疗效果，值得在临床上大力推广。 　　【关键词】腹股沟斜疝；腹外疝；无张力疝修补术 　　【中图分类号】R638 【文献标识码】A 【文章编号】2095-1752（2015）10-0057-02 　　 Clinical curative effect of the treatment of inguinal hernia cases by without tension hernia repair and traditional hernia repair in basic-level hospitals 　　Xu Jinbo Lizhuang Center Hospitals of Lianyungang City, Jiangsu Province, Lianyungang 222121, China 　　【Abstract】Objective Clinical curative effect of the treatment of inguinal hernia cases by without tension hernia repair and traditional hernia repair in basic-level hospitals. Methods Select 76 cases of patients with abdominal external hernia, separately without a hernia repair and traditional hernia repair. Results Tension free hernioplasty need time, postoperative hospital stay, duration of pain, are significantly less than the control group, while the incidence of pain, complication rate, recurrence rate in 1 years, was also lower than that of the control group, compared the treatment effect has obvious difference, Plt;0.05. Conclusions Basic-level hospitals in the treatment of inguinal hernia, it can be used without tension hernia repair surgery, and effectively improve patient treatment effect, improve the quality of prognosis, obtain ideal therapeutic effect, is worth promoting in clinic. 　　【Key words】Inguinal hernia; Abdominal external hernia; Without tension hernia repair 　　腹股沟斜疝是最多见的腹外疝，发病率约占全部腹外疝的90%，或占腹股沟疝的95%，男性占绝大多数，右侧比左侧多见[1]。腹股沟疝常用的手术方法有疝囊切除、高位结扎术、疝修补术和疝成形术，这些手术方式不同程度地存在麻醉风险大、手术痛苦大、卧床时间长、易复发等缺陷。无张力疝修补术具有手术时间短、术后住院时间短、创伤性小、疼痛轻微、疼痛持续时间短、并发症发生率低、复发率低等优点。但无张力疝修补术多在县级以上医院进行，基层医院开展的比较少，原因可能为材料费偏高，患者认知度不高等问题。我们自2011年1月到2014年11月对来我科就诊的76例腹股沟斜疝患者，分别进行无张力疝修