腹股沟疝行平片无张力、疝环充填式及传统疝修补术疗效的比较

目的比较平片无张力、疝环充填式及传统疝修补术治疗腹股沟疝的临床疗效。方法将我院收治的306例腹股沟疝患者按时问顺序分为A组113例、B组113例、c组80例，分别行平片无张力疝修补术、疝环充填式修补术和传统疝修补术。观察比较j三组患者手术时间、手术出血量、住院时间、手术费用等手术一般情况及术后切口感染、阴囊积液、切口异物感、慢性疼痛及复发等并发症情况。结果c组手术时间最长，平均出血量最多，但手术费用最低（P〈0．05）；A组与B组手术时间、手术出血量差异无显著性（P〉0．05）；但B组平均住院时问及手术费用最高（P〈0．05）。三组患者术后并发症比较，c组发生率21．3％显著高于A组（12．4％）及B组（10．6％），P〈0．05。结论平片无张力疝修补术和疝环充填式修补术操作简单、手术出血少、并发症发生率低，其中平片无张力疝修补术手术费用较低，更适合基层医院推广应用。

The efficacy of tension-free mesh, mesh-plug and traditional hernia repair in the treatment of groin hernias

Objective To compare the efficacy of tension-free mesh, mesh-plug, and traditional hernia repair in the treatment of groin hernias. Methods According to the time order, 306 patients with groin hernias were divided into 3 groups. 113 patients in group A received tension-free repair; 113 patients in group B re- ceived mesh-plug, and 80 patients in group C received traditional hernia repair. Surgical duration, intraopera- rive bleeding volume, length of hospital stay, medical costs, and rates of incision infection, scrotal hydrocele, foreign body sensation in the incision site, prolonged pain, and recurrence were compared among the three groups. Results The surgical duration was longest, intraoperative bleeding volume was smallest, and medical costs were least in group C （P 〈 0.05） ; the surgical duration and bleeding volume did not differ significantly between group A and group B, but length of hospital stay was longer and medical costs were highest in group B （P 〈 0.05 ）. The rate of compliations was markedly higher in group C than in groups A and B （21.3 % vs. 12.4% vs. 10.6%, P〈 0.05）. Conclusions Tension-free mesh and mesh-plus is simple and has less surgical bleeding with a lower rate of complications in the treatment of groin hernias. The medical cost is lower in tension-free mesh and is more suitable for popularizing in primary hospitals.