摘要
目的:探讨无张力疝修补术成人急性嵌顿性腹股沟疝治疗中的安全性及临床应用体会。方法:对2006年3月~2010年3月在本院住院治疗的43例(研究组)急性嵌顿性腹股沟疝患者行无张力疝修补术,选择同期30例行传统修补术的患者作为对照组,比较两组患者的手术时间、并发症发生率及复发率等。结果:研究组平均手术时间为(55.8±7.1)min,对照组为(57.9±8.4)min,差异无统计学意义(P>0.05)。研究组患者的下床活动时间及住院时间均明显短于对照组,均差异有统计学意义(P<0.05)。研究组术后1例患者发生并发症,对照组有3例患者发生并发症;1年后随访研究组无复发,对照组4例复发;术后并发症发生率及复发率比较差异均有统计学意义(P<0.05)。结论:对急性嵌顿性腹股沟疝患者行无张力疝修补术是安全可行的,临床效果明显,能有效预防疝复发。
Objective:To investigate the security and clinical effects of hernieplastie sans tension in the therapy of acuted incarcerated inguinal hernia.Methods:Forty-three patients(study group) from March 2006 to March 2010 adopted hernieplastie sans tension and concurrent 30 patients(control group) adopted traditional procedure.The operative time,postoperative complication and recurrence rate were compared between two groups.Results:The mean operative time of study group was(55.8±7.1) min,and control group was(57.9±8.4) min.There were no statistical differences between the two group(P〈0.05).There were statistical differences between the two group in out of bed activity time and average hospitalization time.The postoperative complication of study group was 1 case,and control group was 3 cases.The recurrence of study group was 0 case,and control group was 4 cases.There were statistical differences between the two groups(P〈0.05).Conclusion:It is safety and viable of hernieplastie sans tension in the therapy of acuted incarcerated inguinal hernia.Hernieplastie sans tension have obvious cinical results and effectively prevent recurrence.
出处
《中国当代医药》
2011年第25期42-43,共2页
China Modern Medicine
关键词
腹股沟疝
嵌顿性
无张力疝修补术
临床应用
Inguinal hernia
Incarcerated
Hernieplastie sans tension
Clinical practice