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目的探讨腹股沟疝术后慢性疼痛发生的原因及预防.方法我院2005年1月~2011年12月共手术治疗465例腹股沟疝,有效随访248例,其中出现慢性疼痛者26例.对此进行回顾性分析,探讨术后慢性疼痛的发生原因.结果248例患者中出现慢性疼痛者26例,总发生率10.5%.男23例,发生率10.4%,女 3例,发生率11.1%;年龄20~55岁12例,发生率15.8%,55岁以上 8例,发生率4.7%;斜疝19例,发生率10.7%,直疝 6例,发生率9.8%,股疝1例,11.1%;原发疝21例,发生率9.3%,复发疝5例,发生率21.7%.张力性修补18例,发生率20.9%,无张力性修补 8例,发生率4.9%;髂腹下神经损害型5例,占19.2%,髂腹股沟神经7例,占26.9%,生殖股神经14例,占53.8%.结论腹股沟疝手术后慢性疼痛与性别、疝的类型无关,与年龄、是否复发疝、修补方式有关.神经损害以生殖股神经较髂腹下神经、髂腹股沟神经更为多见.“,”Objective To investigate the causes of postoperative chronic pain of inguinal hernia and the way to prevent.Methods Respectively we reviewed 465 patients who underwent inguinal hernia repair from 1997.1 to 2003.12 in our hospital.248 cases were folowed up,221 of which were male,the others were female.They were divided into two age groups: 20~55years old(76 cases)and over 55 years old(172cases).Oblique hernia were in 178 cases,straight hernia were in 61 cases,femoral hernia were in 9 cases,primary hernia were in 225 cases,recurrence hernia were in 23 cases.Tension repair in 86 cases,tension-free in 162 cases were performed.Results 10.5% (26/248)suffered from chronic pain,of which male were 23 cases accounting for 10.4%(23/221), female were 3 cases accounting for 11.1%(3/27).The age group of 20~55 years old were 12 cases(15.8%),over 55 years old were 8 cases(4.7%).Oblique hernia were 19 cases(10.7%),straight hernia were 6 cases(9.8%),femoral hernia were 1 case(11.1%),primary hernia were 21 cases,(9.3%),recurrence hernia were 5 cases(21.7%%).Tension repair in 18 cases(20.9%),tension-free in 8 cases(4.9%)were performent.The type of injured neve were classified into iliohypogastric nerve( 5 cases,19.2%) 、ilioinguinal nerve( 7 cases,26.9%) and genitofemoral nerve(14 cases,53.8%).Conclusion Chronic pain of inguinal hernia postoperatively is not related to sex、type of hernia,and is more correlated with age、 primary or recurrence hernia and the procedure.The injury of genitofemoral nerve is more frenqent than ilioinguinal or iliohypogastric nerve.