目的 探讨改良无张力疝修补术治疗女性腹股沟疝的效果.方法 回顾分析笔者医院普外科自2003年12月～2009年12月行无张力疝修补术治疗68例女性腹股沟疝患者的临床资料,应用平片式无张力疝修补术35例,应用改良无张力疝修补术33例,对两种术式术后继发股疝、异物感、慢性疼痛、平均住院时间等并发症进行比较.结果 改良无张力疝修补术疗效好,无继发股疝发生,与平片式无张力疝修补术比较,差异有统计学意义(P＜0.05).结论 改良无张力疝修补术是治疗女性腹股沟疝安全、有效、可靠的手术方式,可预防继发股疝,手术操作相对简单,值得基层医院推广使用.%Objective To investigate the clinical effect of the improved tension - free hernioplasty in female inguinal hernia. Methods A total of 68 female cases with indirect or direct inguinal hernia,who had accepted tension - free hernioplasty from December 2003 to December 2009 at the department of general surgery in our hospital, were analyzed retrospectively, of whom 33 cases with Lichtenstein repair,33 cases with improved tension - free hernioplasty. Secondary femoral hernia,foreign body feelings,chronic pain of post operation, length of hospital stay were compared between the two groups. Results Application of improved tension - free hernioplasty was effective, with no secondary femoral hernia. Compared with the Lichtenstein repair,there was significant difference in secondary femoral hernia (P < 0. 05). Conclusion Improved tension-free hernioplasty is a simple,safe,effective and dependable method for female inguinal hernia, which can effectively avoid the recurrence of secondary femoral hernia and is worth to popularize in primary hospitals.
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