【摘要】 目的研究无张力疝修补术与传统疝修补术治疗腹股沟疝的疗效。方法 80例腹股沟疝患者随机分为观察组和对照组各40例。对照组行传统疝修补术,观察组行无张力疝修补术,比较两组的手术治疗效果。结果观察组患者的手术时间(61.12±15.08)min,明显短于对照组;观察组患者下床活动时间(16.5±3.1)h,明显早于对照组,观察组术后住院时间(7.23±1.62)d,明显少于对照组,上述指标组间比较,差异有显著性(P<0.05)。观察组患者术后无痛率达40.0%(16/40),对照组患者术后无痛率达20%(8/40)。随着患者疼痛程度的增加,观察组不同程度病例数均明显少于对照组,差异有显著性(P<0.05)。观察组并发症发生率明显低于对照组,差异有显著性(P<0.05)。观察组术后随访至今无一例复发,对照组复发率达12.5%,组间比较,差异有显著性(P<0.05)。结论无张力疝修补术的疗效明显优于传统疝修补术,具有术后恢复快、住院时间短、复发率低等优点,值得推广和应用。更多还原

【Abstract】 Objective To study the efficacy of tension-free hernia repair with traditional hernia repair inguinal hernia treatment.Methods Eighty cases of inguinal hernia patients were randomly divided into observation group and control group of 40 cases.Control group underwent conventional hernia repair,Observation group underwent tension-free her nia repair,surgical treatment effect were compared.Results The patient’s operative time(61.12±15.08) min,was significantly shorter than the control group;ambulation time observation group were(16.5 ±3.1) h,was significantly faster than the control group,the observation group postoperative hospital stay(7.23 ±1.62) d,significantly shorter in the control group,these indicators between the two groups,the difference was statistically significant(P < 0.05).Postoperative pain observation group reached 40.0%(16/40),the control group patients were pain-free rate was 20%(8/ 40).As the degree of pain in patients with increased number of cases of the observation group were significantly different degree than the control group,the difference was statistically significant(P < 0.05).Observation group was significantly higher incidence of complications,the difference was statistically significant(P < 0.05).Observation group were followed so far no recurrence,the recurrence rate was 12.5% in the control group between the two groups,the difference was statisti cally significant(P < 0.05).Conclusion The tension-free hernia repair were significantly better than traditional hernia repair,with rapid postoperative recovery,shorter hospital stay,recurrence rate,etc.,should be promoted and applied.更多还原