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目的观察无张力疝修补术治疗急性嵌顿性腹股沟疝的临床疗效及安全性。方法选取我院自2010年3月～2011年5月收治的90例急性嵌顿性腹股沟疝患者作为研究对象,按照治疗方法分为观察组(无张力疝修补术治疗)50例和对照组(传统修复术治疗)40例,比较两组患者的临床疗效及安全性。结果 (1)两组患者手术均成功,无中止手术病例。观察组手术时间、术中出血量均较对照组少,但无明显差异(P>0.05);下床活动时间、住院时间与对照组比较有明显差异(P<0.05),具有统计学意义。(2)观察组术后并发症1例,发生率为2.0%,无复发病例;对照组术后并发症5例,发生率为12.5%,术后复发6例,复发率为15.0%。两组患者术后并发症及复发率比较均有明显差异(P<0.05),具有统计学意义。结论应用无张力疝修补术治疗急性嵌顿性腹股沟疝效果理想,可以缩短术后康复时间、降低术后并发症及短期内复发率,值得推广应用。
Objective To observe the clinical efficacy and safety of tension-free hernia repair for acute incarcerated inguinal hernia. Methods Ninety patients with acute incarcerated inguinal hernia admitted from March 2010 to May 2011 in our hospital were selected and divided into observation group (tension-free hernia repair) and control group (50 cases) Traditional repair surgery) 40 cases, the clinical efficacy and safety of two groups were compared. Results (1) Surgery was successful in both groups without discontinuation of surgery. The operation time and intraoperative blood loss in the observation group were less than those in the control group, but there was no significant difference (P> 0.05). There was significant difference in the time of bed ambulation and hospital stay compared with the control group (P <0.05). (2) One case of postoperative complications was observed in the observation group, with a incidence of 2.0% and no recurrence. The control group had postoperative complications in 5 cases, with a rate of 12.5% and postoperative recurrence in 6 cases, with a recurrence rate of 15.0%. Complications and recurrence rates of two groups were significantly different (P <0.05), with statistical significance. Conclusion The application of tension-free hernia repair for acute incarcerated inguinal hernia is effective and can shorten postoperative recovery time, reduce postoperative complications and short-term recurrence rate, which is worth popularizing and applying.