腹股沟疝无张力修补术和传统术式临床效果及长期随访分析
杨玉民1 ，郭军玲1，黎一鸣2 ，刘大鹏3 ，任宏3
（1.洛南县医院外科，陕西 商洛，726100；2.西安交通大学第二附属医院普外科，陕西 西安，710068；3.西安交通大学第一 附属医院肿瘤中心胸外二科，陕西 西安，710068）
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摘要：
目的 分析比较腹股沟疝无张力修补术和传统术式的临床效果。方法 回顾性分析我院504 例初发腹股沟疝患者的临床资料和随访结果，将采用无张力腹股沟疝修补术的患者设为观察组（n=303），采用传统术式（Bassini 术式）的患者设为对照组（n=201），分析比较两组患者的手术治愈率、并发症、手术和住院时间、复发率。结果 观察组和对照组的术后总有效率和并发症发生率比较，差异无统计学意义（P>0.05）；观察组术后显效率（73.60%）高于对照组（48.76%）（P<0.05）；观察组手术时间 和住院时间为（65.4±19.6）min、（7.0±2.6）d，均短于对照组的（80.8±9.3）min、（12.7±4.1）d（P<0.05）；观察组术后1 年和3 年累计复发率为2.31%、4.29%，低于对照组的6.97%、12.44%（P<0.05）。结论 无张力修补术对腹股沟疝治疗较传统术式更有效，但术后仍有少部分患者复发，进一步的技术革新将有助于该疾病手术疗效的不断提高。
关键词：腹股沟疝；无张力疝修补术；术后显效率；复发率
中图分类号：R656.2文献标志码：A文章编号：2096-1413(2017)20-0063-03
Analysis of the clinical effect and follow-up results between tension-free inguinal hernia repair and traditional methods on patients with inguinal hernias
YANG Yu-min 1, GUO Jun-ling 1, LI Yi-ming 2, LIU Da-peng 3, REN Hong 3
（1. Department of General Surgery, Luonan County Hospital, Shangluo 726100; 2. Department of General Surgery, the Second
Affiliated Hospital of Xi``an Jiaotong University, Xi``an 710068; 3. the Second Department of Thoracic Surgery, Tumor Center, the First Affiliated Hospital of Xi``an Jiaotong University, Xi``an 710068, China）
ABSTRACT：Objective To analyze and compare the clinical effects of ension-free inguinal hernia repair and traditional surgical method (Bassini operation). Methods The clinical data and follow-up results of 504 patients with incipient inguinal hernias were retrospectively analyzed. The patients undergoing tension-free inguinal hernia repair were set as observation group (n=303), and the patients undergoing the Bassini operation were set as control group (n=201). The curative rate, postoperative complications, operation time, length of hospital stay and reoccurrence rate were compared between the two groups. Results There were no significant differences in total effective rate and incidence rate of complications between the two groups (P>0.05), but the difference in the postoperative effective rate between the two groups was significant (73.6% vs. 48.76%). The operation time and hospital stay of the observation group were (65.4±19.6) min and (7.0±2.6) d, which were shorter than (80.8±9.3) min and (12.7±4.1) d of the control group (P<0.05). The recurrence rate was 2.31% and 4.29% in the observation group at 1 year and 3 years, which were lower than 6.97% and 12.44% in the control group (P<0.05). Conclusion Although there were still a few of patients readmitting with recurrence, the tension -free hernia repair is superior to the traditional method. More technical innovation should be carried out to improve the treatment effect.
KEYWORDS: inguinal hernia; tension-free inguinal hernia repair; postoperative effective rate; reoccurrence rate
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