无张力疝修补术对腹股沟复发疝患者治疗分析.doc

无张力疝修补术对腹股沟复发疝患者治疗分析 　　[摘要] 目的：探讨无张力疝修补术对腹股沟复发疝的治疗效果，分析复发的原因及注意事项。方法：把本院接诊的46例腹股沟复发疝患者分为治疗组和对照组，治疗组进行无张力疝修补术，对照组行传统疝修补术，比较两组患者的复发情况。结果：23例复发疝患者经过无张力疝修补术治疗后，随访2年，复发率为0，而采用传统疝修补术治疗的复发疝患者，经随访2年，6例复发，复发率为26.09%，复发率差异有统计学意义（P＜0.01）。结论：无张力疝修补术复发率小、操作简单，明显优于传统疝修补术。无张力疝修补术是腹股沟复发疝首选的治疗方式，值得临床推广。 　　[关键词] 无张力疝修补术；传统修补术；腹股沟复发疝；治疗 　　[中图分类号] R656.2+1 [文献标识码]C [文章编号]1674-4721（2011）04（c）-174-02 　　 　　Tension-free inguinal hernia repair surgery on the treatment of patients with recurrent hernia 　　MO Hainan 　　The Center Health Hospital of Potou Area, Zhanjiang City, Guangdong Province, Zhanjiang 524000, China 　　[Abstract] Objective: To investigate the tension-free hernia repair for recurrent inguinal hernia treatment, analysis of the cause of relapse and precautions. Methods: 46 cases of hospital admissions of recurrent inguinal hernia were divided into treatment group and control group, treatment group of tension-free hernia repair in the control group underwent traditional hernia repair, recurrence were compared. Results: 23 patients with recurrent hernia patients after treatment of tension-free hernia repair after 2 years follow-up, the recurrence rate was 0, and using the traditional hernia repair surgery for recurrent hernia patients were followed up for 2 years, 6 cases of recurrence, the recurrence rate was 26.09%, recurrence rate was significantly (P0.01). Conclusion: The tension-free hernia recurrence rate is small, easy to operate. Is due to traditional hernia repair. Tension-free inguinal hernia repair is the preferred treatment for recurrent hernia, is worthy of promotion. 　　[Key words] Tension-free hernia repair; Traditional repair; Recurrent inguinal hernia; Treatment 　　 　　腹股沟疝是比较常见的外科疾病[1]，传统的腹股沟修补疝术缺少对腹股沟结构的认识，往往把疝周围组织强行缝合，破坏正常生理结构，给患者带来巨大痛苦，而且恢复慢、复发率高，为15%～20%。现阶段一般常采用无张力疝修补术来治疗复发疝，它操作简单、痛苦少、复发率低，得到患者的好评，现将本院2010年1~6月收治的46例患者的治疗回顾，公布如下： 　　1 资料与方法 　　1.1 一般资料 　　就诊的46例患者，男性33例，女性13例，年龄33～76岁，平均58.2岁。其中，单侧复发27例，双侧复发疝19例，首次复发36例，二次复发患者8例，三次复发者2例。既往手术方式以传统疝修补