研究经腹膜前间隙无张力腹股沟疝修补术与疝环填充式无张力腹股沟疝修补术治疗腹股沟股疝临床情况。

回顾性分析2013年1月至2017年1月，巴中市中医院因股疝而行开放式无张力修补术治疗患者的临床资料，共入选患者76例，其中34例患者行腹膜前间隙无张力修补手术，42例患者行疝环填充式无张力修补手术；观察2组患者的手术时间、手术后的恢复时间、住院的天数和费用，使用视觉模拟评分（visual analogue scale，VAS）手术后的疼痛，详细记录患者手术以后3、7、12、72 h后的疼痛评分情况和患者术后并发症情况。

2组患者在手术的时间、恢复时间和住院的天数方面比较，差异无统计学意义（P>0.05）；2组患者手术后3、7、12 h的VAS评分比较，差异无统计学意义（P>0.05），术后72 h的评分比较，腹膜前间隙组（1.49± 0.43）分优于疝环填充组（2.32±0.52）分，差异有统计学意义（t=4.911，P=0.009）；腹膜前间隙组患者手术后的并发症情况优于疝环填充式组，其中慢性疼痛（1/34比14/42）、手术后异物感（0/34比16/42）比较，差异有统计学意义（P=0.013、0.005）。

经腹膜的前间隙无张力修补手术使用补片覆盖了患者整个的耻骨肌孔，是治疗腹股沟股疝更合理的手术方式。

To study the clinical application of preperitoneal mesh repair and mesh-plug repair for femoral hernia.

From January 2013 to January 2017, a retrospective study was conducted on femoral hernia underwent open tension-free repair in Bazhong Chinese Medicine Hospital. A total of 76 cases were selected, of which 34 patients had preperitoneal mesh repair. And other 42 patients were treated with mesh-plug repair. The operative time, postoperative recovery time, length and cost of hospitalization were observed. The postoperative pain score (visual analogue scale, VAS) at 3, 7 , 12 and 72 hours after surgery and postoperative complications of patients were noted.

There were no significant differences in the time of operation, the recovery time and the length of hospitalization between the two groups (P>0.05). There was no significant difference in VAS scores between the two groups (P>0.05), at 3, 7, and 12 hours after surgery; while there was a significant difference between the scores at 72 hours after surgery (P<0.05). The postoperative complications of the patients in the preperitoneal group were better than those in the mesh-plug group. There were statistical differences between chronic pain and foreign body sensation after surgery (P<0.05).

The anterior prepreitoneal mesh repair surgery uses the patch covering the patient's entire myopectineal orifice, and is a more reasonable surgical approach for the treatment of groin and femoral hernia.