平片無張力疝修補術與疝環充填式修補術治療腹股溝疝療效比較

【摘 要】 目的 研究分析平片無張力疝修補術與疝環充填式修補術治療腹股溝疝的臨床療效。方法 選取本院2009年5月-2013年5月收治的腹股溝疝患者90例，隨機分為對照組與治療組，其中對照組進行疝環填充式修補術治療，治療組進行平片無張力疝修補術進行治療，比較兩組治療效果，術中出血量、手術時間、住院時間、患者術后恢復情況、復發情況。結果 治療后兩組術中出血量、手術時間、住院時間、術后復發率之間差異不明顯不具有統計學意義（P>0.05）；兩組術后異物感、疼痛感觀察組明顯低于對照組，其差異明顯具有統計學意義（P<0.05）；兩組術后并發癥差異不明顯不具有統計學意義（P>0.05）。結論 兩組治療方法均具有較好的臨床療效，但從術后患者異物感、異物感、復發情況來看，采用平片無張力疝修補術優于采用疝環充填式修補術，值得臨床廣泛應用。

【關鍵詞】 平片無張力疝修補術；疝環充填式修補術；腹股溝疝

【中圖分類號】 R656.2+1 【文獻標識碼】 A

【Abstract】 Objective Researched and analyzed plain film tension-free hernioplasty and hernia ring filling repairation treated inguinal hernia’s clinical efficacy.Methods 2010-2012 in hospital had 90 patients with inguinal hernia，which were randomly divided into control group and treatment group.The control group treated with hernia ring filling repairation.The treatment group treated with plain film tension-free hernioplasty.Compared 2 groups with treatment effects，blood loss，operative time，length of stay，postoperative recovery condition，recurrence.Results After treatment，blood loss，operative time，length of stay，recurrence had no significant differences.It was not statistically significant （P>0.05）.Observation group’s postoperative foreign body sensation，pain was significantly lower than in the control group.The difference was statistically significant （P<0.05）； postoperative complications had no significant difference. It was not statistically significant （P>0.05）.Conclusion 2 groups’treatment methods both had better clinical efficacy，but as foreign body sensation， pain，recurrent situation，the use of plain film tension-hernia hernioplasty was better than using t hernia ring filling repairation.It was worthy of clinical widely used.

【Keywords】 plain film tension-free hernia hernioplasty；hernia ring filling repairation；inguinal hernia

腹股溝疝是外科常見病，男性發病率大于女性[1]。疝為腹腔內的組織，發病由腹壁薄弱的部位向外突出。主要發病原因是先天性缺陷、附腹壁薄弱或腹內壓增高等[2]。本病容易反復發作，嚴重影響了患者的生活質量。臨床以手術治療為主要治療手段，隨著科學技術的發展，無張力疝修補術已將在臨床上廣泛被應用[3]，并且取得了良好的效果。為了尋找更好的治療方法，本組研究從多方面對平片無張力疝修補術與疝環充填式……