摘要
目的比较改良Lichtenstein疝修补术与Lichtenstein疝修补术手术方法,探讨更加合理的手术方式。方法回顾性分析2009年8月至2013年8月,潮州市潮州医院收治的成年腹股沟疝患者120例。随机分为二组,观察组60例,实施改良Lichtenstein疝修补术;对照组60例,实施Lichtenstein疝修补术。结果二组患者手术时间、下床活动时间及阴囊血肿、切口裂开、切口感染、切口下积血(液)、局部异物感方面差异无统计学意义(t=-1.735、-1.802,χ2=2.224、2.786、1.359、3.078、3.897,P=0.083、0.092、0.070、0.074、0.056、0.081、0.098)。对照组复发率高于观察组,差异有统计学意义(χ2=1.184,P=0.021)。结论改良Lichtenstein疝修补术是治疗腹股沟疝较好的手术方法,尤其是对于Ⅲ、Ⅳ型疝,疝环口大,腹横筋膜破损较重,复发疝患者,效果良好。
Objective To compare the traditional and modified Lichitenstein hernia repairs and to explore the more reasonable operation. Methods A total of 120 patients with inguinal hernia were enrolled in Chaozhou Hospital from August 2009 to August 2013 and retrospectively analyzed. Of all ,60 cases applied with the modified Lichtenstein hernia repair （the observation group）and 60 eases applied with the traditional Lichtenstein hernia repair（ the control group） were included. Results No difference in the operation time, time to ambulation, scrotal hematoma, incision, wound infection, subcutaneous liquid, or sensation of local foreign body was observed（ t = - 1. 735, - 1. 802, X2 = 2. 224,2. 786,1. 359,3. 078,3. 897, P = 0. 083, 0. 092,0. 070,0. 074,0. 056,0. 081,0.098 ）. The recurrence in the control group was more than that of the observation group with significant difference （X2 = 1. 184, P = 0. 021 ）. Conclusions The modified Lichtenstein hernia repair is effective method for inguinal hernia, especially for those Ⅲ, Ⅳ hernia, and hernias with large mouth, fascia transversalis with serious damages or recurrence.
出处
《中华疝和腹壁外科杂志（电子版）》
2014年第1期48-50,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
疝修补术
无张力
Hernia, inguinal
Hemiorrhaphy
Tension-free
