疝环充填式无张力疝修补术的疗效观察

目的:探讨疝环充填式无张力疝修补术治疗腹股沟疝的临床疗效。方法:将90例腹股沟斜疝患者随机分为两组各45例,分别行传统疝修补术和疝环充填式无张力疝修补术,观察并比较两组术后相关指标、术后近期并发症、术后切口疼痛及远期疗效。结果:两组术后平均下床活动时间、肠蠕动恢复时间、术后腹胀、阴囊肿胀、切口疼痛、术后恢复日常生活时间、复发率比较有非常显著性差异(P<0.01)。平均住院时间、术后尿潴留发生率、住院费用比较有显著性差异(P<0.05)。结论:疝环充填式无张力疝修补术痛苦小,并发症少,住院时间短,复发率低,值得推广应用。

Observation on the effective outcome of mesh-plug tension-free hernioplasty

Objective: To explore clinical effective outcome of mesh-plug tension-free hernioplasty. Methods: 90 patients with inguinal hernia were randomly divided into two groups, 45 patients in each group. mesh-plug tension-free hernioplasty and conventional method were respectively applied in the two groups. The indexes of the two groups were observed and compared after mesh-plug tension-free hernioplasty, including short-term postoperative complication, pain of wound and long-term effectiveness. Results: The marked significant differences between the two groups were found in the time of movement on the ground, time of restoration of intestinal peristalsis, postoperative intestinal extension, swelling of scrotum, pain of wound, time of restoration of daily life and the rate of recurrence (P<0.01). The significant differences were also found in average duration of hospitalization, incidence of postoperative urinary stasis and expenses of hospitalization (P<0.05). Conclusion: Mesh-plug tension-free hernioplasty is a simple and practical method which is obviously preferable to apply in such respects as less pain and complication, shorter hospitalization and lower recurrence.