目的 观察比较腹膜前间隙无张力修补术与疝环填充式无张力疝修补术治疗腹股沟疝的疗效。方法 以腹膜前间隙无张力修补术为观察组、疝环填充式无张力修补术为对照组,回顾性分析比较该两组接受手术治疗的腹股沟疝患者的手术相关情况、术后疼痛评分、并发症及复发情况。 结果 两组手术时间无差异;但观察组的术中出血量、下床时间、住院时间显著优于对照组(P＜0.05),术后6、12、24 h疼痛评分显著优于对照组(P<0.05)。术后并发症发生率显著低于对照组(7.5% 对 25.0%,P<0.05)。两组术后随访1年,均无疝复发。结论 腹膜前间隙无张力修补术治疗腹股沟疝气较疝环填充式无张力修补术疗效可靠,安全、并发症少、术后疼痛轻,值得临床推广。
Objective To observe and compare the effect of tension-free repair in preperitoneal space and hernia ring-retaining tension-free repair on inguinal hernia.Methods Patients who underwent tension-free repair in preperitoneal space (observation group) and hernia ring-retaining tension-free repair (control group) were retrospectively analyzed for surgery conditions, postoperative pain scores, complications, and recurrence.Results No difference in operation time was found between the two groups.However, intraoperative blood loss, leaving bed time, and hospital stay of the observation group were significantly less and shorter than those of the control group (P<0.05).The pain scores at 6h,12h,and 24h of the observation group was better than those of the control group (P<0.05).The postoperative complication rate of the observation group was significantly lower than that of the control group (7.5% vs.25.0%, P<0.05).None of the patients in the two groups recurred in the one-year follow-up visit.Conclusion Tension-free repair in preperitoneal space for inguinal hernia is more safer and effective than hernia ring-retaining tension-free repair,thus worthy of clinical recommendation.
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