【摘要】 目的探讨改良无张力疝修补术治疗女性腹股沟疝的效果。方法回顾分析笔者医院普外科自2003年12月～2009年12月行无张力疝修补术治疗68例女性腹股沟疝患者的临床资料,应用平片式无张力疝修补术35例,应用改良无张力疝修补术33例,对两种术式术后继发股疝、异物感、慢性疼痛、平均住院时间等并发症进行比较。结果改良无张力疝修补术疗效好,无继发股疝发生,与平片式无张力疝修补术比较,差异有统计学意义(P<0.05)。结论改良无张力疝修补术是治疗女性腹股沟疝安全、有效、可靠的手术方式,可预防继发股疝,手术操作相对简单,值得基层医院推广使用。更多还原

【Abstract】 Objective To investigate the clinical effect of the improved tension-free hernioplasty in female inguinal hernia.Methods A total of 68 female cases with indirect or direct inguinal hernia,who had accepted tension-free hernioplasty from December 2003 to December 2009 at the department of general surgery in our hospital,were analyzed retrospectively,of whom 35 cases with Lichtenstein repair,33 cases with improved tension-free hernioplasty.Secondary femoral hernia,foreign body feelings,chronic pain of post operation,length of hospital stay were compared between the two groups.Results Application of improved tension-free hernioplasty was effective,with no secondary femoral hernia.Compared with the Lichtenstein repair,there was significant difference in secondary femoral hernia(P<0.05).Conclusion Improved tension-free hernioplasty is a simple,safe,effective and dependable method for female inguinal hernia,which can effectively avoid the recurrence of secondary femoral hernia and is worth to popularize in primary hospitals.更多还原