疝环充填式无张力疝修补术治疗老年腹股沟疝的临床分析

目的探讨疝环充填式无张力疝修补术治疗老年腹股沟疝的临床疗效。方法回顾性分析我院急救中心外科2002年1月-2007年1月收治的91例老年腹股沟疝患者的临床资料,男性68例,女性23例。其中50例应用无张力疝修补术修补腹股沟疝,41例行传统术式,对比分析两组患者术后疼痛、术后尿潴留及复发情况。结果无张力疝修补术与传统修补术患者术后止痛剂使用率,尿潴留发生率,阴囊积液发生率及复发率间差异均有统计学意义(P<0.05)。结论疝环充填式无张力疝修补术可有效降低老年腹股沟疝的复发率和并发症。

Clinical Analysis of Mesh-plug Tension-free Hernioplasty for Inguinal Hernia

Objective To evaluate the therapeutic efficacy of mesh-plug tension-free hernioplasty for inguinal hernia by comparising with the traditional hernioplasty.Methods 91 cases of inguinal hernia from January 2002 to January 2007 were analyzed retrospectively,there are 68 males and 23 females.50 cases were treated by mesh-plug tension-free hernioplasty and 41 cases were treated by traditional methods,and the rate of postoperative pain,postoperative urine retention,recurrence and complications were explored in the two groups.Results The rate of occurrence of urine retention and scrotal hydrocele,the application rates of analgesic and the recurrence rate of two groups were significant difference(P<0.05).Conclusion Mesh-plug tension-free hernioplasty has the advantages of low recurrence and complications,it is a satisfactory method.