腹股沟疝无张力修补术后慢性疼痛治疗体会

摘要

Objective To retrospectively analyze the causes and countermeasures of chronic pain after tension-free repair for inguinal hernia.Methods The medical records and follow-up information of 32 patients getting chronic pain among 703 patients undergoing open anterior tension-free inguinal hernia repair at the department of general surgery of our hospital from March,2009 to March,2014 were analyzed; the diagnosis and treatment process and results were observed,analyzed,and summarized.Results Comprehensive treatment (mainly treating symptoms) could improve the patients' chronic pain symptoms and quality of life in varied degrees.Conclusions Tension-free inguinal hernia repair has relatively high incidence of chronic pain; the prevention is preoperatively difficu the treatment is postoperatively intractable; and the prognosis is difficult to predict.Individualized,step by step,and comprehensive treatment is satisfactorily effective.%目的 回顾性分析前入路腹股沟疝无张力修补术后患者出现慢性疼痛的原因及应对措施.方法 分析2009年3月至2014年3月在我院普外科行开放性前入路腹股沟疝无张力修补术703例病人中出现慢性疼痛的32例病历及随访资料,对诊治过程及结果进行观察、分析、总结.结果 采用以对症治疗为主的综合治疗方法,均可使患者慢性疼痛症状和生活质量得到不同程度的改善.结论 腹股沟疝无张力修补术后慢性疼痛发生率相对较高,术前难预防,术后难处理,预后难预测,一旦出现,采用个体化、阶梯性、综合性治疗,效果满意.