无张力修补术在嵌顿疝引起的急腹症中的应用价值分析

目的探讨无张力修补术在嵌顿疝引起的急腹症中的应用价值。 方法选取2015年9月至2017年2月，新疆医科大学第一附属医院收治的49例腹股沟嵌顿疝患者为研究对象，根据所行手术的不同分为研究组（26例）与对照组（23例），对照组行传统疝修补术，研究组行无张力修补术，术后均随访12个月。比较2组急腹症缓解情况与手术指标，分析术后2组并发症发生情况，并总结手术要点。 结果2组术后腹痛、腹部包块、肠梗阻等急腹症均明显缓解，2组间总有效率差异无统计学意义（P>0.05）；与对照组相比，研究组术中出血量减少，手术时间及术后住院时间缩短，术后镇痛药物使用频率降低（P<0.05）；术后研究组并发症发生率明显低于对照组（P<0.05），2组间复发率差异无统计学意义（P>0.05）。 结论无张力修补术与传统疝修补术均可有效缓解嵌顿疝引起的急腹症，但前者可有效降低患者术后并发症发生率，有利于其预后。

Analysis of the application value of tension free repair in acute abdomen caused by incarcerated hernia

ObjectiveTo explore the application value of tension free repair in acute abdomen caused by incarcerated hernia. Methods49 cases of inguinal incarcerated hernia patients in the First Affiliated Hospital of Xinjiang Medical University were selected and divided into study group (26) and control group (23) according to the different treatment methods. Control group was treated with traditional herniorrhaphy, and study group was treated with tension free repair. All patients were followed up for 12 months. The remission of acute abdomen and the operation indexes of 2 groups were compared. The complications of 2 groups after operation were analyzed and the main points of operation were summarized. ResultsThe acute abdomen such as abdominal pain, abdominal mass, intestinal obstruction of 2 groups significantly alleviated, and the total effective rates of 2 groups had no significant difference (P>0.05); Compared with control group, the amount of bleeding in study group decreased, the time of operation and the time of postoperative hospitalization shortened, and the frequency of postoperative analgesic drugs decreased (P<0.05); the postoperative complications incidence of study group was significantly lower than control group (P<0.05), there was no significant difference in recurrence rate between 2 groups (P>0.05). ConclusionTension free repair and traditional hernia repair can effectively relieve acute abdomen caused by incarcerated hernia, but the former can effectively reduce postoperative complications and is beneficial to the prognosis.