奚浩

【摘要】目的：分析采用无张力疝修补术治疗腹股沟疝的效果。方法：将我院收治的40例腹股沟疝患者随机分为A组和B组，每组各20例患者。为A组患者采用无张力疝修补术进行治疗，为B组患者采用传统疝修补术进行治疗，然后对比分析两组患者的临床疗效。结果：与B组患者相比，A组患者治疗的总有效率较高，差异有统计学意义（P<0.05）。与B组患者相比，A组患者病情的复发率及术后并发症的发生率均较低，差异有统计学意义（P<0.05）。与B组患者相比，A组患者手术的时间及住院的时间均较短，其术后的VAS评分较低，其治疗的费用较高，差异有统计学意义（P<0.05）。结论：为腹股沟疝患者采用无张力疝修补术进行治疗可取得理想的临床效果，能促使其更快地康复，降低其术后并发症的发生率及病情的复发率，此法值得在临床上推广应用。

【关键词】腹股沟疝;无张力疝修补术;传统疝修补术;疗效对比

【中图分类号】R656.2            【文献标识码】B            【文章编号】2096-7225（2020）05-0008-02

[ Abstract ] objective： to analysis the without tension hernia repair for the treatment of inguinal hernia. Methods： our hospital of 40 patients with inguinal hernia were randomly divided into group A and group B， 20 patients in each group. In group A were treated by treatment without tension hernia repair， in group B were treated by traditional hernia repair treatment， and analysis the clinical curative effect of two groups of patients were compared. Results： compared with group B patients， the total effective rate of treatment group A is higher， the difference was statistically significant （P < 0.05）. Compared with group B patients， patients of group A with low recurrence rate and the incidence of postoperative complications， the difference was statistically significant （P < 0.05）. Compared with group B patients， patients in group A of operation time and hospitalization time is shorter， the postoperative VAS score is low， the treatment cost is higher， the difference was statistically significant （P < 0.05）. Conclusion： using without tension hernia repair for inguinal hernia patients treatment can obtain ideal clinical effect， can cause the faster recovery， reduce the incidence of postoperative complications and recurrence of disease， this method is worth popularizing in clinical application.

[ key words ] inguinal hernia; Without tension hernia repair; The traditional hernia repair; Effect of contrast

腹股沟疝是外科的常见病。此病患者可出现腹部胀痛、绞痛等症状，在进行运动、行走的过程中其疼痛的癥状可显著加重。在临床上，治疗腹股沟疝的方法主要为传统疝修补术、无张力疝修补术等手术疗法。传统疝修补术属于张力性疝修补术。对腹股沟疝患者施行传统疝修补术的用时较短，但在术后其切口愈合的效果较差，发生并发症及病情复发的几率较高。近年来，无张力疝修补术在治疗腹股沟疝方面显现出理想的效果。研究发现，为腹股沟疝患者应用该疗法进行治疗可取得理想的效果，降低其术后并发症的发生率，促使其在术后更快地康复[1，2]。……