两种无张力疝修补术治疗腹股沟疝的比较  

Therapeutic effect comparison of two tension-free herniorrhaphies operation on inguinal hernia

作　　者：吴继东[1] 

机构地区：[1]重庆市第一人民医院外科,400000

出　　处：《中国医药指南（学术版）》2008年第8期39-40,共2页Guide of China Medicine

摘　　要：目的比较两种无张力疝修补术在治疗成人斜疝中的疗效差异。方法采用美国Bard公司的疝环充填物及网状补片,回顾性分析和比较2000年11月至2007年3月185例(A组:Rutkow疝环充填式修补术96例,B组:Lichtenstein平片修补术89例)的手术并发症、术后恢复情况、费用及复发率等。结果A组手术时间55min,B组40min。B组术后恢复快于A组,手术并发症B组少于A组,费用A组高于B组,B组术后复发2例,A组无复发病例。结论疝环较大的腹股沟疝,尤其是复发疝者,应尽量选用Rutkow手术;疝环较小的疝可选用Lichtenstein手术,并且可减少患者的治疗费用。选用何种手术方式应个体化。Objective To compare the therapeutic effect of two tension-free herniorrhaphies on adult indirect hernia. Methods The postoperative complications,recovery process,cost and recurrence rate were retrospectively analyzed for 185 cases which were treated by the hernia ring obturator ＆ mesh patch offered by Bard Company in U, S. A. from Nov 2000 to Mar 2007（group A：96 cases were treated by the Rutkow repair, group B： 89 cases by the Lichtenstein repair）. Results Group A needed 55 rain operation time,while group B needed 40 min. The recovery process of group B was faster than that of group A and postoperative complications,and cost of group B were less than those of group A. 2 cases of group B recurred. Conclusion indirect hernia with big hernia ring, especially recur red hernia, should be operated by the Rutkow herniorrhaphy. Lichtenstein repair is preferred to indirect hernia with small hernia ring and lower-cost. Which kind of operation performed must be based on the different conditions of the patients.

关 键 词：无张力疝修补术 术式比较 腹股沟疝 

分 类 号：R656.21[医药卫生—外科学]