无张力疝修补术治疗腹股沟疝效果和安全性分析.docVIP

无张力疝修补术治疗腹股沟疝效果和安全性分析 　　[摘要] 目的 探讨无张力疝修补术治疗腹股沟疝的临床效果及安全性。 方法 选取2010年7月～2014年10月本科收治的90例腹股沟疝患者作为研究对象，随机分成治疗组和对照组，各45例。治疗组接受无张力疝修补术治疗，对照组接受传统疝修补手术治疗，比较两组的治疗效果及并发症发生率。 结果 治疗组的手术时间、术后恢复时间、住院时间显著短于对照组，差异有统计学意义（P0.01）。治疗组的总有效率显著高于对照组，差异有统计学意义（P0.01）。治疗组的术后并发症发生率显著低于对照组，差异有统计学意义（P0.01）。 结论 无张力疝修补术治疗腹股沟疝效果显著，值得临床推广应用。 　　[关键词] 无张力疝修补术；腹股沟疝；传统疝修补术；疝囊 　　[中图分类号] R656.2+1 [文献标识码] A [文章编号] 1674-4721（2016）03（a）-0021-03 　　[Abstract] Objective To explore the clinical effect and safety of tension-free hernioplasty in the treatment of inguinal hernia. Methods 90 patients with inguinal hernia from July 2010 to October 2014 in our hospital were selected and randomly divided into the treatment group and the control group，45 cases in each group.The treatment group was treated with tension-free hernioplasty，the control group was treated with traditional herniorrhaphy.The therapy effect and the incidence rate of complication in the two groups was compared. Results Operation time，postoperative recovery time and hospital stay in the treatment group was shorter than that in the control group，with significant difference （P0.01）.The total effective rate in the treatment group was higher than that in the control group，with significant difference （P0.01）.The incidence rate of postoperative complication in the treatment group was higher than that in the control group，with significant difference （P0.01）. Conclusion The effect of tension-free hernioplasty in the treatment of inguinal hernia is significant，it is worthy of clinical promotion and application. 　　[Key words] Tension-free hernioplasty；Inguinal hernia；Traditional herniorrhaphy；Hernial sac 　　腹股沟疝是指发生在腹股沟区域的腹外疝，即在腹股沟区有向体表突出的疝囊结构，通过先天或后天形成的腹壁缺损，腹腔内器官或组织可进入疝囊[1]。腹股沟疝有斜疝和直疝之分，斜疝是最常见的腹外疝，约占腹外疝总数的90%，占腹股沟疝的95%。 　　腹股沟疝是普外科多发病、常见病，腹外疝手术占外科手术总数的8%，男性占大多数。成人腹股沟疝一旦形成，手术则是其治愈的唯一方法。无张力疝修补术是利用人工合成网片材料进行无张力修补的方法，出现于20世纪70年代，极大地减少了腹股沟疝手术的术后复发率以及其他并发症[2]。从1997年开始，无张力疝修补术在我国逐步得到推广应用。本研究选取本院的腹股沟疝患者作为研究对象，比较无张力疝修补术与传统疝修补术的治疗效果及并发症发生率，旨在探讨无张力疝修补术的临床优势。