老年腹股沟疝无张力修补术与传统手术方式的比较-东南大学学报医学版

老年腹股沟疝无张力修补术与传统手术方式的比较

单位：东南大学附属中大医院普外科,江苏南京,210009

分类号：R656.21

出版年·卷·期（页码）：2003·22·第三期（180-182）

摘要：

目的:通过对老年腹股沟疝无张力修补术与传统修补术的比较,探讨无张力疝修补术是否更优越.方法:回顾分析本院95例老年疝修补术患者(其中55例行无张力疝修补术,40例采用传统术式)手术时间、术后疼痛、术后尿潴留、复发及并发症情况.结果:两组病例的手术时间有显著差异(P>0.05),无张力组尿潴留率及止痛药应用率明显低于传统手术组(P<0.05).无张力组手术并发症少,术后复发率低.结论:无张力疝修补术是一种更符合生理解剖、近期疗效满意的理想的疝修补手术.

Objective To evaluate the safety and effectiveness of tension free inguinal hernia repair by comparison of this method and traditional hernioplasty.Method Hernioplasty had been performed on 95 elderly patients with inguinal hernia (55 underwent tension free repair with mesh and plug,the rest 40 patients were treated with traditional approach).And operation duration,postoperative pain,postoperative urine retention,recurrence and complications were explored in the two groups.Results The operation duration in two groups showed no significant difference.The rate of occureace of urine retention and application of analgetic in the group of tension free repair were markedly lower than the other group.In addition,the former group was also associated with less recurrence and fewer postoperative discomfort and complications.Conclusion Tension free inguinal hernia repair with mesh and plug is satisfactory therapy.

参考文献：

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