腹股沟疝补片修补术42例疗效剖析.docVIP

腹股沟疝补片修补术42例疗效剖析 　　[摘要] 目的 探讨腹股沟疝补片修补术治疗腹股沟疝患者的临床效果。 方法 选取2014年6月～2015年6月在我院进行腹股沟疝补片修补术的42例患者作为研究对象，对其随机分为观察组（21例）和对照组（21例），观察组患者采用套装补片修补术进行治疗，对照组患者采用单纯补片修补术进行治疗，手术后观察并比较两组患者的术后恢复情况、并发症及疝复发率。 结果 观察组患者的术后的恢复情况、并发症等情况明显优于对照组，组间差异具有统计学意义（P0.05）。另外，观察组患者的疝复发率为4.76%，明显小于对照组患者的疝复发率33.33%，组间差异具有统计学意义（P0.05）。 结论 临床医学上，对腹股沟疝患者采用人工修补的套装补片材料进行补片修补术，术后患者的恢复较快，疝复发率低，无并发症出现，具有良好的修补效果，值得在大力推广应用。 　　[关键词] 腹股沟疝；补片；修补术；疗效 　　[中图分类号] R656.21 [文献标识码] B [文章编号] 2095-0616（2015）20-134-03 　　Clinical analysis of 42 cases of inguinal hernia repair 　　GUO Lianjun 　　Department of the First Surgery， Central Hospital of Fujin City， Fujin 156100， China 　　[Abstract] Objective To explore the inguinal hernia mesh repair inguinal hernia patients clinical results. Methods 42 patients with inguinal hernia repair in our hospital from June 2014 to June 2015 were randomly divided into observation group （21 cases） and control group （21 cases）. The patients in control group were treated with single patch repair. The recovery of postoperative complications and recurrence rate were compared between the two groups. Results The recovery， postoperative complications in patients of the observation group than the control group， there were significant differences between the two groups（P0.05）. In addition， the observation group of patients with hernia recurrence rate was 4.76%， significantly less than the control group of patients with 33.33% of the hernia recurrence rate， the group had a significant difference（P0.05）， with statistical significance. Conclusion Clinical medicine， for inguinal hernia repair in patients with artificial patch material suits patch repair surgery， patients recover faster， hernia recurrence rate， no complications， with good repair effect， it is worth to promote the application. 　　[Key words] Inguinal hernia； Patch； Repair； Effect 　　临床医学上，腹股沟疝是普通外科一种较为常见的疾病[1]，其发病原因较为复杂，除了先天性的因素外，此病与人腹内压增高有密切的关系，也就是说与前列腺的肥大、便秘有关，一般老年人的发病率较高[2]。使用传统的手术方法进行治疗，会在一定程度上破坏解剖结构，患者在术后会感到剧烈的疼痛，其手术的复发率较高。然而近年来