Comparative observation on the therapeutic effect of different repair procedures for tension-free inguinal hernia
无张力腹股沟疝不同修补术治疗效果对比观察

摘要

目的 对临床治疗腹股沟疝气过程中不同方式无张力疝修补术应用效果进行对比。方法 选择我院在2021年6月至2022年7月前所收治的100例腹股沟疝气患者为研究对象，根据数字随机法将所有患者均分为对照组及观察组，其中每组患者为50例，对这组患者入院后使用了疝环充填式无张力疝修补术进行治疗，而观察组患者入院后治疗过程中主要使用的是平片无张力疝环修补术，对两组患者经不同方式治疗后的治疗效果进行对比。结果 经本院无张力疝修补术治疗后，对照组患者整体治疗有效率达到68%，观察组患者整体治疗有效率达到84%，两组患者在治疗有效率方面对比观察组化者明显更高，差异显著，p<0.05。与对照组相比较，观察组患者在手术时间、术后恢复时间等方面明显更短，差异显著，p<0.05。在手术出血量和治疗费用方面相比较，观察组患者明显低于对照组，且在治疗过程中，观察组患者出现的并发症及不良反应等明显低于对照组，差异显著，p<0.05。结论 在临床治疗腹股沟疝气的过程中平片无张力疝环修补术疗效更加明显，而且在医院手术是中的应用体现出了较高的安全性、可靠性，具有极大临床推广价值。

Abstract

Objective To compare the effect of different tension-free hernioplasty in the clinical treatment of inguinal hernia.
Methods 100 patients with inguinal hernia admitted to our hospital from June 2021 to July 2022 were selected as the study subjects. According to the digital randomization method, all patients were divided into the control group and the observation group, of which 50 patients were in each group. After admission, this group of patients were treated with mesh plug tension-free hernia repair, while the observation group patients were mainly treated with flat mesh tension-free hernia repair, The therapeutic effects of two kinds of patients after different treatment were compared.
Results After tension-free hernioplasty in our hospital, the overall effective rate of the control group reached 68%, and the overall effective rate of the observation group reached 84%, the two kinds of patients were significantly higher in terms of treatment effectiveness than those in the observation group (p<0.05). Compared with the control group, the patients in the observation group had significantly shorter operative time and postoperative recovery time (p<0.05). Compared with the control group in terms of surgical bleeding volume and treatment cost, the left patient in the observation group was significantly lower than that in the control group, and during the treatment, the complications and adverse reactions in the observation group were significantly lower than those in the control group (p<0.05).
Conclusion   In the course of clinical treatment of inguinal hernia, the effect of tension-free hernia ring repair with flat mesh is more obvious, and its application in hospital surgery shows high safety and reliability, which has great clinical promotion value.