摘要
目的探讨腹股沟疝无张力修补术后慢性疼痛的预防和治疗对策。方法回顾性分析2010年10月至2013年10月中国医科大学附属盛京医院胆道疝减肥外科行无张力修补术治疗的802例腹股沟疝的临床资料。结果术后发生慢性疼痛共21例,其中开放手术20例,腹腔镜手术1例;腹腔镜手术的术后慢性疼痛发生率明显低于开放手术(P<0.05)。轻微疼痛12例,中度疼痛8例,重度疼痛1例。1例重度疼痛的病人行再次手术疼痛缓解,其余20例经过保守治疗后均好转或痊愈。结论 (1)由专业的疝外科医生进行规范的操作对预防术后慢性疼痛的发生有重要意义。(2)术后慢性疼痛的治疗以非手术治疗为主;对于非手术治疗无效的重度疼痛病人,通过手术取出补片并切断神经疼痛可获缓解。
Objective To explore the prevention and treatment of chronic pain after tension-free repair of inguinal hernia. Methods The clinical data of 802 patients with inguinal hernia underwent the tension-free hernioplasty from October 2010 to October 2013 in Shengjing Hospital of China Medical University were analyzed retrospectively. Results Twenty-one patients had chronic pain after operation including 20 patients in open operation and 1 patient in laparoscopic operation. Incidence rate of chronic pain after laparoscopic operation is lower than open operation （P〈0.05）. Mild, moderate and severe pain occurred in 12, 8 and 1 patient respectively. The patient who had severe pain was relieved after reoperation and others who had mild or moderate pain were improved or recovered by medical treatment. Conclusion Careful and proper operation by special doctor of hernia surgery can reduce the incidence rate of chronic pain,and operation is the last method for the patients who have intractable pain.
出处
《中国实用外科杂志》
CSCD
北大核心
2014年第5期419-421,共3页
Chinese Journal of Practical Surgery
关键词
腹股沟疝
无张力修补术
慢性疼痛
inguinal hernia
tension-free hernia repair
chronic pain
