腹股沟嵌顿疝无张力修补术的疗效分析
| 作者: |
1王亮,
2刘梅宝,
1张涛
1 汕头大学医学院附属粤北人民医院胃肠外科，广东 韶关 512026 2 汕头大学医学院附属粤北人民医院疼痛门诊，广东 韶关 512026 |
| 通讯: |
张涛
Email: ybyyzhangtao@126.com |
| DOI: | 10.3978/.2017.12.014 |
摘要
目的：探讨无张力修补术治疗腹股沟嵌顿疝的疗效和安全性。
方法：回顾性分析2013年1月—2014年12月间手术治疗的60例嵌顿疝患者资料，其中32例行补片无张力修补术（观察组），28例行传统疝修补术（对照组），比较两组患者的相关临床指标。
结果： 两组患者术前一般资料具有可比性。观察组与对照组平均手术时间（53.6 min vs. 51.8 min）、术中出血量（10.3 mL vs. 11.1 mL）差异无统计学意义（均P>0.05）；观察组术后并发症9例（28.1%）与对照组术后并发症5例（17.9%），差异无统计学差异（P>0.05）；观察组术后无补片感染；观察组平均住院时间短于对照组（5.3 d vs. 6.3 d，P<0.05）。两组术后随访24~36个月，观察组无复发，对照组复发5例（17.9%），差异有统计学意义（χ2=4.12，P<0.05）。
结论：无张力修补术治疗腹股沟嵌顿疝能够缩短住院时间、降低术后复发率，安全有效。
关键词：
疝，腹股沟/治疗；疝修补术/方法
方法：回顾性分析2013年1月—2014年12月间手术治疗的60例嵌顿疝患者资料，其中32例行补片无张力修补术（观察组），28例行传统疝修补术（对照组），比较两组患者的相关临床指标。
结果： 两组患者术前一般资料具有可比性。观察组与对照组平均手术时间（53.6 min vs. 51.8 min）、术中出血量（10.3 mL vs. 11.1 mL）差异无统计学意义（均P>0.05）；观察组术后并发症9例（28.1%）与对照组术后并发症5例（17.9%），差异无统计学差异（P>0.05）；观察组术后无补片感染；观察组平均住院时间短于对照组（5.3 d vs. 6.3 d，P<0.05）。两组术后随访24~36个月，观察组无复发，对照组复发5例（17.9%），差异有统计学意义（χ2=4.12，P<0.05）。
结论：无张力修补术治疗腹股沟嵌顿疝能够缩短住院时间、降低术后复发率，安全有效。
Efficacy analysis of tension-free herniorrhaphy for incarcerated inguinal hernia
CorrespondingAuthor:ZHANG Tao Email: ybyyzhangtao@126.com
Abstract
Objective: To evaluate the safety and efficacy of tension-free herniorrhaphy in treatment of incarcerated inguinal hernia.
Methods: The clinical data of 60 patients with incarcerated inguinal hernia undergoing surgical treatment during January 2013 to December 2014 were retrospectively analyzed. Of the patients, 32 cases underwent tension-free herniorrhaphy with mesh-plug technique (observation group), and 28 cases underwent traditional herniorrhaphy (control group). The main clinical variables between the two groups of patients were compared.
Results: The preoperative data of the two groups of patients were comparable. The operative time (53.6 min vs. 51.8 min) and intraoperative blood loss (10.3 mL vs. 11.1 mL) showed no statistical difference between observation group and control group (both P>0.05); postoperative complications occurred in 9 cases (28.1%) in observation group and in 5 cases (17.9%) in control group, which showed no statistical difference (P>0.05); no mesh infection occurred in observation group; the average length of hospital stay in observation group was significantly shorter than that in control group (5.3 d vs. 6.3 d, P<0.05). Follow-up was conducted for 24 to 36 months in both groups, and recurrence occurred in no case in the study group but in 5 cases in control group, and the difference was statistically significant (χ2=4.12, P<0.05).
Conclusion: For incarcerated inguinal hernia, tension-free herniorrhaphy can shorten the length of hospitalization and reduce postoperative recurrence, and is safe and effective.
Keywords：
Hernia
Inguinal/therapy; Herniorrhaphy/method
Methods: The clinical data of 60 patients with incarcerated inguinal hernia undergoing surgical treatment during January 2013 to December 2014 were retrospectively analyzed. Of the patients, 32 cases underwent tension-free herniorrhaphy with mesh-plug technique (observation group), and 28 cases underwent traditional herniorrhaphy (control group). The main clinical variables between the two groups of patients were compared.
Results: The preoperative data of the two groups of patients were comparable. The operative time (53.6 min vs. 51.8 min) and intraoperative blood loss (10.3 mL vs. 11.1 mL) showed no statistical difference between observation group and control group (both P>0.05); postoperative complications occurred in 9 cases (28.1%) in observation group and in 5 cases (17.9%) in control group, which showed no statistical difference (P>0.05); no mesh infection occurred in observation group; the average length of hospital stay in observation group was significantly shorter than that in control group (5.3 d vs. 6.3 d, P<0.05). Follow-up was conducted for 24 to 36 months in both groups, and recurrence occurred in no case in the study group but in 5 cases in control group, and the difference was statistically significant (χ2=4.12, P<0.05).
Conclusion: For incarcerated inguinal hernia, tension-free herniorrhaphy can shorten the length of hospitalization and reduce postoperative recurrence, and is safe and effective.