疝环填充式无张力修补术在嵌顿疝中的应用

目的探讨疝环填充式无张力修补术在嵌顿疝中的应用。方法将110例腹股沟嵌顿疝患者随机分为实验组及对照组,记录并比较两组患者手术时间,术后患者下床时间,术后并发症发生情况,包括腹股沟区疼痛,阴囊或者阴唇肿胀,腹股沟区麻痹感,腹股沟区异物感,伤口红肿渗液等。结果 实验组平均手术时间、腹股沟区疼痛时间均比对照组短,二者比较差异有统计学意义(P<0.05)。实验组平均术后下床时间比对照组早,二者比较差异有统计学意义(P<0.05)。实验组术后出现阴囊或阴唇肿胀、腹股沟区麻痹感、腹股沟区异物感、伤口红肿渗液的例数均少于对照组,差异比较有统计学意义(P<0.05)。结论与传统修补手术相比,在嵌顿疝中行疝环填充式无张力修补术具有创伤小、术后恢复快、操作简单、复发率低、减少二次手术机会等优点,可基层医院推广。

The Application of Hernia Ring Filling Tension-free Repair of Incarcerated Hernia

Objective To investigated the application of hernia ring filling tension-free repair in incarcerated inguinal hernia. Methods Patients with incarcerated inguinal hernia were randomly divided into two groups, the experimental group 55 cases and the control group 55 cases. The operative time, postoperative bed time, postoperative complications, including pain in the groin area, scrotum or labia swelling, numbness in the groin area, foreign body sensation in the groin area, and wound inlfamed seepage liquid of two groups were recorded and analyzed. Results There were statistical differences in the terms of operative time, time of inguinal region pain times, experiment group is shorter than the control group（P〈0.05）. There were also statistical differences in the terms of average postoperative bed time, experimental group is earlier than the control group（P〈0.05）. The occurrence of postoperative swelling of the scrotum or labia majora, inguinal area numb feeling, a sense of foreign body in groin area, swollen the wound drainage in experimental group is less than that in the control group, and there has a statistically signiifcant difference（P〈0.05）. Conclusion Compared with the way of traditional repair, the means of hernia ifng iflling tension-free repair in incarcerated inguinal hernia has more advantages, such as small wounds, fast postoperative recovery, simple operation, low recurrence rate, less opportunities for secondary operation, thus this surgery way is suitable to be promotion in primary hospital.