不同方式无张力疝修补术治疗腹股沟疝气的临床疗效分析(1)
[摘要] 目的 探讨腹股沟疝气以超普网和聚丙烯修补网进行无张力疝修补术治疗的临床效果。 方法 方便选取2015年10月—2017年5月该院150例腹股沟疝气患者为研究对象，依据治疗方法不同分为实验组(强生超普网片无张力疝修补术，75例)和对照组(华利普医用聚丙烯修补网片无张力疝修补术，75例)，对比观察两组疗效，统计并发症与复发率。 结果 两组手术成功率均为100.00%，随访复发率0.00%，疗效相当。实验组随访期间腹股沟区异物不适2例(2.67%)，未见慢性疼痛0.00%，并发症发生率低于对照组，差异有统计学意义(χ2=5.832，P<0.05；χ2=3.051，P<0.05)。结论 以超普网和聚丙烯修补网进行无张力疝修补术治疗腹股沟疝气效果确切，可有效预防复发，其中前者术后异物不适与慢性疼痛少，患者舒适度高，更具临床推广价值。
[关键词] 腹股沟疝气；无张力疝修补术；超普网；聚丙烯修补网，疗效
[中图分类号] R683 [文献标识码] A [文章编号] 1674-0742(2019)03(c)-0061-03
[Abstract] Objective To investigate the clinical effect of tension-free hernioplasty with ultrasonography and polypropylene mesh for inguinal hernia. Methods From October 2015 to May 2017， 150 patients with inguinal hernia in our hospital were convenient selected as experimental subjects. According to different treatment methods， they were divided into experimental group (Qiangsheng Chaopu mesh tension-free hernia repair， 75 cases) and control group (Huali General medical polypropylene repair mesh tension-free hernia repair， 75 cases)， comparative observation of the two groups of efficacy， statistical complications and recurrence rate. Results The success rate of the two groups was 100.00%. The recurrence rate was 0.00% after 1 year follow-up. The curative effect was similar. There was no significant difference in the basic operation index between the two groups (P>0.05). During the follow-up period， 2 cases (2.67%) had abnormal sensation in the inguinal region， and no chronic pain was found. The incidence of complications in the experimental group was lower than that in the control group (χ2=5.832，P<0.05；χ2=3.051，P<0.05). Conclusion Tension-free hernioplasty with polypropylene mesh and ultrasound mesh is effective in the treatment of inguinal hernia， which can effectively prevent recurrence. The former has less postoperative foreign body discomfort and chronic pain， high comfort and more clinical value.
[Key words] Inguinal hernia； Tension-free hernia repair； Super polypropylene mesh； Polypropylene mesh mesh； Curative effect
腹股溝疝指腹腔内脏器经腹股沟薄弱区或缺损处离开正常解剖位置向体表突出所形成的包块，是临床常见腹外疝，依据疝环与腹壁下动脉关系分为斜疝与直疝两种，其中以前者构成比高，占全部腹股沟疝的90.00%以上[1]。腹股沟疝不能回纳可形成嵌顿，导致肠梗阻、穿孔甚至坏死，因此，对于情况允许者，临床治疗以手术为首选，可达到根治效果，最大限度减少复发，保证远期疗效与安全[2]。无张力疝修补术是现阶段国际临床首推的腹股沟疝手术治疗方法，目前临床可用疝气修补网片众多，文章现以该院2015年10月—2017年5月该院150腹股沟疝患者为例，分析探讨超普网和聚丙烯修补网修补疝气的临床效果，具体报道如下。
1 资料与方法
1.1 一般资料
方便选取该院150例腹股沟疝气患者为研究对象，依据治疗方法不同分为两组。实验组(75例)：男68例，女7例；年龄55～76岁，平均(63.1±7.7)岁；单侧疝66例，双侧疝9例；Gilbert II型32例，III型36例，IV型5例，V型2例。对照组(75例)：男66例，女9例；年龄56～76岁，平均(62.8±7.5)岁；单侧疝68例，双侧疝7例；Gilbert II型33例，III型37例，IV型4例，V型1例。两组一般资料差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(吴洋)
[关键词] 腹股沟疝气；无张力疝修补术；超普网；聚丙烯修补网，疗效
[中图分类号] R683 [文献标识码] A [文章编号] 1674-0742(2019)03(c)-0061-03
[Abstract] Objective To investigate the clinical effect of tension-free hernioplasty with ultrasonography and polypropylene mesh for inguinal hernia. Methods From October 2015 to May 2017， 150 patients with inguinal hernia in our hospital were convenient selected as experimental subjects. According to different treatment methods， they were divided into experimental group (Qiangsheng Chaopu mesh tension-free hernia repair， 75 cases) and control group (Huali General medical polypropylene repair mesh tension-free hernia repair， 75 cases)， comparative observation of the two groups of efficacy， statistical complications and recurrence rate. Results The success rate of the two groups was 100.00%. The recurrence rate was 0.00% after 1 year follow-up. The curative effect was similar. There was no significant difference in the basic operation index between the two groups (P>0.05). During the follow-up period， 2 cases (2.67%) had abnormal sensation in the inguinal region， and no chronic pain was found. The incidence of complications in the experimental group was lower than that in the control group (χ2=5.832，P<0.05；χ2=3.051，P<0.05). Conclusion Tension-free hernioplasty with polypropylene mesh and ultrasound mesh is effective in the treatment of inguinal hernia， which can effectively prevent recurrence. The former has less postoperative foreign body discomfort and chronic pain， high comfort and more clinical value.
[Key words] Inguinal hernia； Tension-free hernia repair； Super polypropylene mesh； Polypropylene mesh mesh； Curative effect
腹股溝疝指腹腔内脏器经腹股沟薄弱区或缺损处离开正常解剖位置向体表突出所形成的包块，是临床常见腹外疝，依据疝环与腹壁下动脉关系分为斜疝与直疝两种，其中以前者构成比高，占全部腹股沟疝的90.00%以上[1]。腹股沟疝不能回纳可形成嵌顿，导致肠梗阻、穿孔甚至坏死，因此，对于情况允许者，临床治疗以手术为首选，可达到根治效果，最大限度减少复发，保证远期疗效与安全[2]。无张力疝修补术是现阶段国际临床首推的腹股沟疝手术治疗方法，目前临床可用疝气修补网片众多，文章现以该院2015年10月—2017年5月该院150腹股沟疝患者为例，分析探讨超普网和聚丙烯修补网修补疝气的临床效果，具体报道如下。
1 资料与方法
1.1 一般资料
方便选取该院150例腹股沟疝气患者为研究对象，依据治疗方法不同分为两组。实验组(75例)：男68例，女7例；年龄55～76岁，平均(63.1±7.7)岁；单侧疝66例，双侧疝9例；Gilbert II型32例，III型36例，IV型5例，V型2例。对照组(75例)：男66例，女9例；年龄56～76岁，平均(62.8±7.5)岁；单侧疝68例，双侧疝7例；Gilbert II型33例，III型37例，IV型4例，V型1例。两组一般资料差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(吴洋)