摘要
目的 研究腹股沟疝传统疝修补、平片无张力式疝修补与疝环充填式疝修补的手术效果。方法 对642例腹股沟疝行传统疝修补术534例(583侧,传统组),平片无张力式疝修补术57 例(60 侧,平片无张力组),疝环充填式疝修补术51例(54侧,疝环充填组)。比较3 种术式的手术时间、术后并发症和术后复发率等指标。结果 传统组平均手术时间为(34.26±4.56) min,明显少于平片无张力组的(40.35±6.24) min (P<0.05)和疝环充填组的(49.12±8.69) min(P<0.01); 而平片无张力组又明显少于疝环充填组(P<0.01)。传统组、平片无张力组及疝环充填组并发症分别为6 例(1. 12%)、1 例(1. 75%)及0 (P>0. 05) 。传统组术后疝复发率为5. 99%(32/534),明显高于平片无张力组(0)和疝环充填组(0),P<0.05。传统组、平片无张力组及疝环充填组的平均住院时间分别为(7.11±3.06) d、(5.38±2.53) d及(6.19±3.61) d,各组间差异无显著性意义。恢复正常活动时间传统组为(16.98±4.35) d,明显迟于平片无张力组的(7.26±2.46) d和疝环充填组的(8.02±3.35) d (P<0.01)。结论 疝环充填式与平片无张力疝修补较传统疝修补能明显降低术后疝复发率,值得推广使用。
Objective To evaluate the therapeutic benefits of three styles of hernioplasties such as the traditional hernioplasty, the mesh only hernioplasty and the plug & mesh hernioplasty. Methods The traditional hernioplasty in 534 cases(583 sides), the mesh only hernioplasty in 57 cases(60 sides) and the plug & mesh hernioplasty in 51 cases(54 sides) were performed. The comparing studies on the operative time, the postoperative complications, the recurrent rate and so on were analyzed. Results The average operative time of the traditional styles group was (34.26±4.56) min, which was significantly shorter than the mesh only group 〔(40.35±6.24) min, P <0.05〕 and the plug & mesh group 〔(49.12±8.69) min, P <0.01〕 respectively. This significant difference between the mesh only group and the plug & mesh group was also identified ( P <0.05). Postoperative complications in the traditional styles group, the mesh only group and the plug & mesh group were 1.12%, 1.75% and zero,respectively ( P >0.05). Recurrent rate in the traditional styles group was 5.99%(32/534), which was significantly higher than that of the mesh only and the plug & mesh group (no recurrence). The average hospitalizing time in the traditional styles group, the mesh only group and the plug & mesh group was (7.11±3.06) days,(5.38±2.53) days and (6.19±3.61) days, respectively, in which there was no significant difference among groups. The activity-recovering time in the traditional styles group was (16.98±4.35) days, which was significantly longer than (7.26±2.46) days in the mesh only group and (8.02±3.35) days in the plug & mesh group. Conclusion The mesh only hernioplasty or the plug & mesh hernioplasty have a lower recurrent rate comparing with that in the traditional hernioplasty, which should be much more popularly applied in the treatment of inguinal hernia.
出处
《中国普外基础与临床杂志》
CAS
2005年第3期290-293,共4页
Chinese Journal of Bases and Clinics In General Surgery
