疝环充填式和平片式无张力疝修补术的临床分析

摘要

目的 比较疝环充填式(Mesh-Plug)和平片式(Lichtenstein)无张力疝修补术的术后疗效和并发症产生原因.方法 对应用疝环充填式(Mesh-Plug)143例和平片式(Lichtenstein)174例的无张力疝修补术病人的术后临床指标进行对照比较.结果 术后两组病人在伤口感染、尿潴留、复发、阴囊肿胀方面差异无统计学意义(P＞0.05),仅在疼痛、异物感和不适感方面差异有统计学意义(P＜0.05).结论 两种无张力疝修补术近期均有良好的效果,注意网塞的大小和高度,以及平片的放置和同定,植入物的增多可增加疼痛和不适感.%Objective To compare the clinical efficacy of tension-free hernioplasty with two operative methods, Mesh-Plug and Lichtenstein , and analyze the causes of complications. Methods 143cases were treated by Mesh-Plug, 174 cases were treated by Lichtenstein. To control the patients clinical parameters after operation. Results Two groups of patients of Postoperative wound infection, urinary retention, relapse, and swelling of the scrotum , the difference was not obvious (P＞0. 05 ). The difference was obvious in pain, foreign body sensation and discomfort(P＞0. 05). Conclusion Two tension-free hernioplasty had good efficacy in the near future, note the size of the plug, as well as the height and Lichtenstein of the placement and retention. Implants increase can increase the pain and discomfort.