Department of Surgery, Teikyo University School of Medicine, 2-11-1, Kaga, Itabashi-ku, Tokyo, 173-8605, Japan.
Surg Today. 2012 Sep;42(9):825-9. doi: 10.1007/s00595-012-0153-5. Epub 2012 Mar 1.
The purpose of this study was to estimate the incidence and degree of persistent chronic pain after inguinal hernia repair performed in our hospitals.
We mailed a questionnaire on the frequency and intensity of postoperative inguinal pain and discomfort to 219 adult patients who had undergone inguinal hernia repair in one of our hospitals more than 3 months previously.
There were 191 (87.2%) respondents, 28 (14.7%) of whom reported pain and 33 (17.3%) reported discomfort. The frequency of pain was "rare" in more than half of the patients who reported pain. No patient reported "continuous" pain. The intensity of the pain was "mild" in most of the patients, and none reported "pain that required a painkiller". The answers on the face scale questionnaire (score "0" to "10") were "0" or "1" for most of the patients. The incidence of chronic pain and/or discomfort was significantly higher in women than in men, and tended to be higher in patients who had undergone repair using onlay mesh.
The frequency and intensity of persistent chronic pain or discomfort after inguinal hernia repair was not high or severe. These data will be useful for further studies to determine the best treatment for adult inguinal hernia.
本研究旨在评估我院施行腹股沟疝修补术后持续性慢性疼痛的发生率和程度。
我们向 219 名在我院接受腹股沟疝修补术 3 个月以上的成年患者邮寄了一份关于术后腹股沟疼痛和不适频率及强度的问卷。
有 191 名（87.2%）患者做出了回应，其中 28 名（14.7%）报告有疼痛，33 名（17.3%）报告有不适。报告有疼痛的患者中，超过一半的疼痛频率为“罕见”。没有患者报告“持续”疼痛。大多数患者的疼痛强度为“轻度”，且无人报告“需要止痛药的疼痛”。大多数患者在面部量表问卷（评分“0”至“10”）上的回答为“0”或“1”。女性慢性疼痛和/或不适的发生率明显高于男性，使用覆盖网片修补的患者发生率有增高趋势。
腹股沟疝修补术后持续性慢性疼痛或不适的频率和强度不高或不严重。这些数据将有助于进一步研究，以确定成人腹股沟疝的最佳治疗方法。
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