CAJ | 학술논문

目的评价无张力疝修补术治疗老年腹股沟疝的临床疗效及安全性.方法将接受无张力疝修补术治疗的老年患者100人遵照患者知情同意的原则随机分成对照组和治疗组，对照组50例采用传统的Bassini疝修补术治疗，治疗组50例采用无张力疝修补术，观察切口长度、手术时间、术后8h、24h伤口疼痛情况、恢复活动时间、并发症及复发率.结果两组患者均治愈出院，治疗组患者的术后恢复时间明显短于对照组，治疗组患者的并发症发生率明显低于对照组，组间比较差异有统计学意义(P<0.05).结论无张力疝修补术治疗老年腹股沟疝临床疗效肯定，术后疼痛轻、恢复快、并发症少和复发率低，且安全性好，值得临床推广应用.
목적평개무장력산수보술치료노년복고구산적림상료효급안전성.방법장접수무장력산수보술치료적노년환자100인준조환자지정동의적원칙수궤분성대조조화치료조，대조조50례채용전통적Bassini산수보술치료，치료조50례채용무장력산수보술，관찰절구장도、수술시간、술후8h、24h상구동통정황、회복활동시간、병발증급복발솔.결과량조환자균치유출원，치료조환자적술후회복시간명현단우대조조，치료조환자적병발증발생솔명현저우대조조，조간비교차이유통계학의의(P<0.05).결론무장력산수보술치료노년복고구산림상료효긍정，술후동통경、회복쾌、병발증소화복발솔저，차안전성호，치득림상추엄응용.
objective evaluation of tension-free hernioplasty in elderly inguinal hernia clinical curative effect and safety. Methods the acceptance of tension-free hernia repair in elderly patients100who follow patients informed consent were randomly divided into control group and treatment group,50 cases in the control group using the traditional Bassini herniorrhaphy in the treatment, the treatment group 50 cases treated with tension-free hernia repair, observation of incision length, operation time, postoperative 8h,24h wound pain, recovery time, complications and recurrence rate. Results two patients were cured and discharged, group therapy for patients with postoperative recovery time was significantly shorter than that in the control group, the treatment group patients the complication rate was significantly lower than that in the control group, the difference between groups was statistically significant (P<0.05). Conclusion tension-free hernioplasty in elderly inguinal hernia clinical curative effect, less postoperative pain, quicker recovery, less complication and recurrence rate is low, and the safety is good, worthy of clinical application.