摘要
目的分析腹股沟疝无张力修补术后切口感染的原因及治疗方法,阐述其应用价值。方法选取医院2005年5月-2011年5月收治的632例腹股沟疝患者,将其分为行无张力疝修补术组486例,传统疝修补术组146例,分析其临床资料。结果 486例无张力修补术后切口感染13例,感染率为2.67%,146例传统式修补术后切口感染4例,感染率为2.73%,两组比较,差异无统计学意义;13例无张力修补术后切口感染患者中10例经过换药治愈,3例行二次手术治愈,随访6个月-1年,13例无张力修补术后切口感染的患者均愈合良好,无疝复发。结论腹股沟疝无张力修补术虽然具有操作简单、创伤小、术后疼痛轻、恢复快等优点,但仍有切口感染等并发症,一旦发现患者切口感染,应及时处理,必要时进行二次手术。
OBJECTIVE To analyze the causes and treatment of the incision infections after inguinal hernia tension- free repair and explore its application value. METHODS A total of 632 cases of patients with inguinal hernia, who were treated in the hospital from May 2005 to May 2011, were enrolled in the study and were divided into the tension-free repair group with 486 cases and the traditional repair group with 146 cases, then the clinical data were analyzed. RESULTS Of totally 486 cases in the tension-free repair group, the postoperative incision infections occurred in 13 cases with the infection rate of 2. 67%; of totally 146 cases in the traditional repair group, the postoperative incision infections occurred in 4 cases with the infection rate of 2.73%, the difference between the two groups was not statistically significant. 10 of the 13 cases with infections were cured after the treatment with dressing, the rest of 3 cases underwent the surgery for the second time and were followed up for sit months-one year, and the 13 cases with incision infections healed well, without reoccurrence of hernia. CONCLUSION Al- though the inguinal hernia tension-free repair has such advantages as the simple operation, less trauma, slight pain, and fast recovery, it usually complicated with the incision infections. The second surgery is necessary for the patients with incision infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第12期2881-2882,2885,共3页
Chinese Journal of Nosocomiology
关键词
腹股沟疝无张力修补术
切口感染
治疗
Tension-free inguinal hernia repair
Incision infection
Treatment
