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1、探讨不同手术方式治疗老年腹股沟疝的临床对比研究(新疆阜康市人民医院外科新疆阜康831500)【摘要】目的：探讨不同手术方式治疗老年腹股沟疝的临床疗效。方法：回顾性分析2012年1月〜2015年1月在笔者所在医院择期手术治疗的老年腹股沟疝患者128例的临床资料，按照随机数字表法分为三组：A组(传统腹股沟疝高位结扎+修补术组)，B组(填充式无张力修补术组),C组(PHS补片修补术组)，观察三组患者手术时间、术后疼痛、切U红肿、阴囊积液及术后复发情况。结果：三组患者术后切口红肿和阴囊积液比较，差异均无统计学意义(P>0.05);B、C组手术时间较A组明显缩短，差异有统计学意义(P&l
2、t;0.05),B、C两组手术时间比较差异无统计学意义(P.05);A组术后疼痛发生率明显高于B、C组，差异有统计学意义(P<0.05),B、C两组术后疼痛比较差异无统计学意义(P>；0.05)o对三组患者术后随访3个月〜4年，A组复发率明显高于B、C组，差异有统计学意义(P<0.05),B、C两组复发率比较，差异无统计学意义(P>；0.05)o结论：填充式无张力修补术和PHS补片修补术较传统腹股沟疝高位结扎+修补术有明显优势，填充式无张力疝修补术与PHS补片修补术疗效相当,操作简单，术后疼痛降低且恢复快，复发率低，临床效果满意。【关键词】手术方式；老年；腹股沟疝
3、【中图分类号】R656.2【文献标识码】A【文章编号】1007-8231(2016)13-0112-02【Abstract】ObjectiveToinvestigatetheclinicaleffectsofdifferentoperationmethodsinthetreatmentofsenileinguinalhernia.MethodTheclinicaldataof128casesinourhospitalfromJune2012toJune2015forthetreatmentofelectivesurgeryinelderlypatientswithinguinalhe
4、rniawereretrospectivelyanalyzed,theywererandomlydividedintothreegroups：groupA(traditionalinguinalhernialigation+repairgroup),groupBCfillingtension-freeherniarepairgroup),groupC(thePHSpatchsurgerygroup),operationtime,postoperativepain,woundinfection,hydroceleandpostoperativerecurrenceofthreegrou
5、pswereobserved.ResultTheincisionswellingandscrotalhydroceleofthreegroupswerecompared,therewasnostatisticalsignificance(P>0.05).TheoperationtimeofB,CgroupwassignificantlyshorterthanthatofgroupA,therewasstatisticalsignificance(P<0.05),B,CtwogroupstherewasnosignificantdifferencebetweengroupB
6、andgroupC(P>0.05).ThepostoperativepainincidenceofgroupAwassignificantlyhigherthanthoseofgroupBandgroupC,therewasstatisticalsignificance(P<0.05),postoperativepainbetweengroupBandgroupC,therewasnosignificantdifference(P>O.O5).Thepatientsofthreegroupswerefollowedupfrom3monthsto4years,ther
7、ecurrencerateofAgroupwassignificantlylongerthanthoseofgroupBandgroupC,therewasstatisticalsignificance(P<O.O5).TherecurrencerateofB,Ctwogroupswerecompared,therewasnosignificantdifference(P>0.05).Conclusionfillingtension-freeh
