充填式无张力疝修补术与传统疝修补术治疗腹股沟疝的对照研究

目的：比较充填式无张力疝修补术与传统疝修补术治疗腹股沟疝的临床疗效。方法将70例腹股沟疝患者按不同手术方案分为观察组（给予充填式无张力疝修补术）52例和对照组（给予传统疝修补术）18例，对两组患者手术时间、术后下床活动时间、住院时间及术后疼痛情况进行观察、记录并分析比较。结果观察组手术时间、术后下床活动时间、住院时间分别为（42．4±13．1）min、（1．5±1．1）d、（4．1±1．6）d，对照组分别为（65．6±14．8）min、（2．4±1．2）d、（6．3±2．9）d，两组差异均有统计学意义（t＝6．263、2．923、4．011，均P＜0．01）；观察组术后疼痛评分（2．3±0．8）分，低于对照组的（3．4±0．6）分（ t＝5．461，P＜0．01）。结论充填式无张力疝修补术治疗腹股沟疝疗效确切，优于传统疝修补术，手术用时少，术后恢复快，值得临床推广。

Control study of tension-free hernioplasty with traditional hernioplasty in the treatment of inguinal hernia

Objective To explore the value of tension-free hernioplasty in the treatment of adult inguinal hernia.Methods 70 cases patients with inguinal hernia were randomly divided into the observation group（52 cases, given tension-free hernioplasty） and control group（18 cases,given traditional hernioplasty） ,the operation time,active time,the hospitalization time and postoperative pain of the two groups in perioperative period were observed and recor-ded,and the results were statistically analyzed.Results The observation group patients in the operation time, bed time,postoperative hospitalization time was （42.4 ±13.1） min,（1.5 ±1.1） d,（4.1 ±1.6） d,the control group （65.6 ±14.8） min,（2.4 ±1.2） d,（6.3 ±2.9） d,two the three indexes were significantly different （ t=6.263, 2.923,4.011,all P〈0.01）;the score of pain patients in the observation group[（2.3 ±0.8）points]was significantly lower than that of the control group[（3.4 ±0.6）points] （t=5.461,P〈0.01）.Conclusion tension-free hernio-plasty has a significant effects on treating patients with inguinal hernia,the operation time is short,the postoperative recovery is quickly,which is worthy of clinical widely.