腹膜前无张力修补术与传统疝修补术治疗复发性腹股沟疝68例临床疗效对比分析

摘要

Objective To comparatively study the clinical effect between preperitoneal tension-free hernioplasty (PTFH) and traditional herniorrhaphy (TH) on recurrent inguinal hernia (RIH). Methods 68 cases of RIH patients who were admitted into our hospital from Apr. 2010 to Jun. 2012were divided into control group (TH) and experimental group(PTFH) based on their treatment methods. The clinical effect of two groups was compared with each other after treatment. Results Compared with control group, the operation time of experimental group has no significant difference (P>0.05), the bleeding amount, postoperative complicationsoccurrence rate and recurrent rate of experimental group was obviously less than control group (P < 0.05). Conclusion PTFH can obviously decrease the recurrent rate of recurrent RIH, it worth to be promoted in clinical therapy.%目的对比研究腹膜前无张力修补术与传统疝修补术治疗复发性腹股沟疝的临床疗效。方法回顾性分析2010年4月～2012年6月收治复发性腹股沟疝患者68例，按术式分为对照组（传统疝修补术）和实验组（无张力修补术），比较两组病例疗效及随访情况。结果实验组手术时间与对照组比较无明显差异（P＞0.05）；实验组术中出血量少于对照组（P＜0.05）；实验组术后并发症发生率以及复发率都明显低于对照组（P＜0.05）。结论腹膜前无张力修补术治疗复发性腹股沟疝能明显降低腹股沟疝再次复发的概率，值得临床推广应用。