摘要
目的探讨无张力修补手术治疗老年人腹股沟疝的临床疗效。方法选取2002年1月至2009年12月我科收治的腹股沟疝206例,按照修补方法不同分为传统组即用Bassini法或者Mcvay法修补术方法治疗76例;无张力组130例采用无张力修补,观察两组的治疗效果。结果无张力修补组手术时间、术中出血量、术后起床活动时间、术后生活自理时间和术后住院时间明显短于传统组,差异具有统计学意义(P<0.01)。无张力疝修补术组的术后疼痛,伤口感染,尿潴留和阴囊水肿的发生率明显低于传统手术组,差异有统计学意义(P<0.01)。结论无张力疝修补术手术操作简单,时间短,创伤小,恢复快,无明显疼痛,而且并发症发生率低,是治疗老年腹股沟疝安全、有效、理想的术式,值得临床推广和应用。
Objective To explore the effectiveness of tension-free repair of inguinal hernia in aged patients.Methods The clinical data of two hundred and six aged patients with inguinal hernia operated in this department during January 2002 to December 2009 were retrospectively analyzed.According to different repairing procedures,patients were divided into two groups,76 cases in conventional surgery group were operated with conventional surgery such as method of Bassini or Mcvay,and 130 cases in tension-free group were operated by tension-free method with mesh patch.Results In tension-free group,operating time,amount of blood loss,postoperative time for getup,postoperative time for self-care of daily life and postoperative hospitalization time of patients were shorter than those of patients in conventional surgery group,there was statistically significant difference between these two groups（P0.01）.In patients of tension-free group,the incidence rates of postoperative pain,wound infection,urine retention and scrotal edema were significantly lower than those of patients in conventional surgery group,and the difference was significant（P0.01）.Conclusion The tension-free herniorrhaphy is a procedure with advantages of simple procedure,short operating time,less trauma,quick recovery,no significant pain and low complication rate,and it is a safe,effective and ideal procedure for treatment of aged patients with inguinal hernia.Therefore it is worthy to be recommended and popularized.
出处
《临床和实验医学杂志》
2011年第3期182-183,共2页
Journal of Clinical and Experimental Medicine
关键词
老年人
腹股沟疝
疝修补术
无张力
Elderly
Inguinal hernia
Herniorrhaphy
Tension-free repair
