【摘要】 目的:探讨分型选择开放式无张力修补术治疗腹股沟疝的疗效与安全性。方法:选取2014年10月～2016年10月某院收治的腹股沟疝患者96例,按照Gilbert和Rutkow分型标准将研究对象分为1组34例(I、II型)、2组32例(III型)、3组30例(IV～VII型)。为研究对象行分型选择开放式无张力修补术,1组病例行平片修补术,2组病例行填充式网塞修补术,3组病例行腹膜前修补手术,对比临床疗效及安全性。结果:1组、2组、3组腹股沟疝治疗有效率分别为97.1%、96.9%、96.7%,比较各组数据差异无统计学意义(P>0.05);1组、2组、3组并发症发生率分别为11.8%、9.4%、10.0%,比较各组数据差异无统计学意义(P>0.05)。结论:分型选择开放式无张力修补术治疗腹股沟疝患者,疗效满意,安全性佳,值得临床进一步借鉴与应用。更多还原

【Abstract】 Objective:To investigate the curative effect and safety of the type selection of open tensionfree hernia repair on inguinal hernia.Methods:96patients with inguinal hernia admitted and cured in a hospital from October 2014 to October 2016 were selected.According to Gilbert and Rutkow type classification standards,these study objects were divided into Group 1including 34cases(Type I and II),Group 2including 32cases(Type III)and Group 3including 30cases(Type IV～VII).All the study objects were treated with the type selection of open tension-free hernia repairation,with cases in Group 1receiving the Lichtenstein operation,cases in Group 2receiving the infilled mesh plug hernioplasty and cases in Group 3receiving the preperitoneal repair operation,then compared clinical curative effect and safety among the three operations.Results:The effective treatment rates for inguinal hernia patients in Group 1,Group 2and Group 3were 97.1%,96.9%and 96.7%respectively.The difference among these data had no statistical significance(P>0.05).The complication possibilities for Group 1,Group 2and Group 3 were 11.8%,9.4% and10.0%respectively.The difference among these data had no statistical significance(P>0.05).Conclusion:The type selection of open tension-free hernia repair achieves a satisfying curative effect and an excellent safety in the treatment of patients with inguinal hernia.Therefore,it is worth being used for future reference and being applied in clinical practices.更多还原