两种方法治疗腹股沟疝的临床观察

[目的]探讨疝环充填式无张力疝修补术与传统方法治疗腹股沟疝临床效果及术后护理。[方法]回顾性分析总结我科2001年1月—2008年1月收治的118例腹股沟疝病人的临床资料，其中76例应用无张力疝修补术修补腹股沟疝，42例行传统手术。[结果]无张力疝修补术与传统修补术病人术后止痛剂使用率、尿潴留发生率、阴囊积液发生率、复发率、住院天数、下床活动及进食时间方面比较，差异均有统计学意义（P〈0.05）。[结论]疝环充填式无张力修补术可有效降低腹股沟疝的复发和并发症的发生，减轻病人痛苦。

A clinical study on two diffent ways to treat patients with inguinal hernia

Objective：To probe into the clinical effect and postoperative nursing observation of hernial ring filling--style non--tension herniorrhaphy and traditional method to treat patients with inguinal hernia. Methods： Clinical data of a total of 118 inguinal hernia patients were analyzed and summarized retrospectively. All cases had been admitted and treated in our department from January 2001 to January 2008. And 76 cases were treated with non-- tension herniorrhaphy, traditional way of herniorrhaphy had been carried out for 42 cases. Results： There were statistical significant differences in terms of using rate of analgesics, incidence of urine retention, incidence of scrotal hydrocele, relapse rate, hospital days, time of getting out of bed to exercise and the time of starting to eat between the two methods of operation for inguinal hernia patients （P〈0.05）. Conclusion： Hernial ring filling-- style non- tension herniorrhaphy can effectively decrease the relapse of inguinal hernia and occurrence of complications, and relieve pain for inguinal hernia patients.