目的对比分析疝环填充式和平片式无张力疝修补术治疗腹股沟疝的疗效。方法收集2011年1月～2012年1月我院就诊的腹沟股疝患者62例为研究对象，其中行疝环填充式无张力疝修补术患者31例设立为A组，同期行平片式无张力疝修补术的31例患者设立为B组，比较两组患者的手术时间、术中出血量、VAS评分、住院时间、并发症及复发情况。结果A组患者的手术时间明显长于B组，A组和B组的术中出血量比较未见明显差异（P＞0.05）。B组患者治疗后的VAS评分明显低于A组（P＜0.05），B组患者的住院时间明显短于A组（P＜0.05）。术后随访6～12个月，A组复发2例，复发率为6.45%，B组无一例复发，复发率为0（P＜0.05）。B组术后出现阴囊积液、尿潴留、异物感的例数均少于A组，差异有统计学意义（P＜0.05）。结论平片式无张力疝修补术较疝环填充式无张力疝修补术更具优势，患者痛苦轻、并发症少、复发率低，且价格低廉，更适合基层医院广泛推广应用。%Objective To compare the efficacy of hernia ring filled and peace chip tension-free hernia repair. Methods 62 patients with groin femoral from January 2011 to January 2012 in our hospital for the study, and 31 patients with hernia ring filling tension-free hernia repair established group A,at the same time,selected 31 patients with peace chip tension-free hernia repair in patients established as the B group. The operative time, blood loss, VAS score, duration of hospitalization, complications and recurrence were compared between two groups. Results The operative time of A group was significantly longer than group B, the blood loss of two groups had no significant difference (P > 0.05).VAS score of group B was significantly lower than group A(P < 0.05) .After the treatment , the hospital stay of group B, group B was significantly shorter than group A (P < 0.05). All patients followed up 6-12 months, group A had 2 cases recurrence,the recurrence rate was 6.45%, group B had no recurrence, the recurrence rate was 0,the difference was significant(P < 0.05).In group B, scrotal hydrocele, urinary retention, foreign body sensation were less than the A group, the difference was statistically significant(P<0.05). Conclusion The peace chip tension-free hernia repair, has many advantages than the hernia ring filling tension-free hernia repair surgery, patient have less pain, fewer complications, low recurrence rate, and low prices,is more suitable for grass-roots hospitals to be widely used.
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