| 摘要: |
| ［摘要］ 目的 观察无张力疝修补术治疗成人疝气的临床效果。方法 选取2013-05～2015-11该院110例成人腹股沟疝的患者，按手术方式不同分为A组和B组，A组58例行无张力疝修补术，B组52例行传统疝修补术。比较两组的手术时间、疼痛持续时间、住院时间、术后并发症（切口感染、尿潴留、阴囊血肿）等资料。出院后6个月对两组患者进行电话随访，了解其复发情况。结果 A组手术时间较B组长（P<0.05），但A组的疼痛持续时间及住院时间较B组短，差异有统计学意义（P<0.05）。A组虽然尿潴留、阴囊血肿的发生率与B组比较差异无统计学意义（P>0.05），但其并发症的总发生率明显低于B组（P<0.05），两组复发率差异无统计学意义（P>0.05）。结论 无张力疝修补术治疗成人疝气，疗效值得肯定，术后并发症少，可在临床推广应用。 |
| 关键词: 无张力疝修补术 腹股沟疝 成人 临床效果 |
| DOI：10.3969/j.issn.1674-3806.2017.10.22 |
| 分类号:R 656.2 |
| 基金项目: |
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| Clinical effect of tension-free hernioplasty on adult patients with inguinal hernia |
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WU Yong-hui, HUANG Xue-jin
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Department of Surgery, Guangdong Provincial Workers′ Hospital, Guangzhou 510000, China
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| Abstract: |
| ［Abstract］ Objective To investigate the clinical effect of tension-free hernioplasty on adult patients with inguinal hernia.Methods 110 eligible adult patients with inguinal hernia were recruited between May 2013 and November 2015, and were divided into group A and group B according to different surgical methods. Group A(n=58) received tension-free hernioplasty and group B(n=52) was given Bassini hernioplasty. The operation time, duration of pain, and postoperative complications including incision infection, urinary retention, and scrotal hematoma were compared between the two groups, and their recurrence rates were compared after a follow-up of six months.Results The operation time of group A was significantly longer than that of group B(P<0.05), but the pain duration and hospitalization time of group A were significantly shorter than those of group B(P<0.05). There were no significant differences between group A and group B in the incidence rates of scrotal hematoma and urinary retention and recurrence rate(P>0.05). But the total incidence of complications in group A was lower than that in group B(P<0.05).Conclusion Tension-free hernioplasty has a certain effect and less complications in the treatment of inguinal hernia in adult patients. |
| Key words: Tension-free hernioplasty Inguinal hernia Adults Clinical effect |
