腹膜前间隙法无张力疝修补术治疗腹股沟疝的效果观察

摘要

Objective To explore the clinical value of prepertoneal tension-free hernioplasty for repairing inguinal hernia. Methods The clinical efficacy data of 78 patients with Inguinal hernia in our hospital from June 2012 to De-cember 2014 were retrospectively analyzed.Depending on the treatments,all the patients were divided into control group (37 cases) and research group (41 cases).The control group was given the treatment of plain film method without tension repair,the research group was given peritoneal clearance method without tension hernia repair treatment before the team.The duration of operation,postoperative eating time,postoperative recovery time,hospital stay,postoperative compli-cations such as urinary retention,hematoma,postoperative pain,wound infection,wound infection,and recurrence rate were compared between the two groups. Results The operation time,recovery time and length of hospital stay in the study group were shorter than that in the control group (P<0.05).Compared with the control group,the rate of postoperative complication was higher,and there was significant difference (P<0.05). Conclusion Prepertoneal tension-free hernio-plasty to repair inguinal hernia is a safe and feasible effective surgical technique,and it is worth to be popularized.%目的：探讨腹膜前间隙法无张力疝修补术治疗腹股沟疝的临床效果。方法回顾性分析2012年6月~2014年12月在我院接受治疗的腹股沟疝患者78例。根据治疗方法不同将其分为对照组37例，研究组41例。对照组患者行平片法无张力修补术治疗，研究组患者行腹膜前间隙法无张力疝修补术治疗。观察并比较两组患者的手术时间、术后可进食时间、术后恢复时间、住院时间等手术情况；术后尿潴留、血肿、术后疼痛、伤口感染、复发等并发症的发生情况。结果研究组的手术时间、术后恢复时间、住院天数较对照组有所缩短，差异有统计学意义(P<0.05)。研究组患者术后并发症发生率较对照组降低，差异有统计学意义(P<0.05)。结论腹膜前间隙法无张力疝修补术治疗腹股沟疝是理想安全有效的手术方式之一。