改良Kugel手术治疗成人初发腹股沟疝疗效分析  

Modified kugel surgical treatment for initial -attack inguinal hernia in adults

作　　者：岳奇俊[1] 赵端仪[1] 张政[1] 林松[1] 郝旭东[1] 

机构地区：[1]武警湖北省总队医院普外科,武汉430061

出　　处：《临床外科杂志》2010年第10期669-670,共2页Journal of Clinical Surgery

摘　　要：目的探讨改良Kugel手术在腹股沟疝修补术的临床应用价值。方法初发单侧腹股沟疝患者60例随机分为2组，其中，改良Kugel组采用改良Kugel手术，Lichtenstein组采用Lichtenstein手术。对两组患者术前基本情况，手术时间，术后不良反应，住院时间，术后并发症及复发率等进行比较。结果全组病例手术经过顺利，所有患者术后即可下床活动，6h恢复饮食，无尿潴留发生，切口Ⅰ／甲愈合。改良Kugel组手术时间少于Lichtenstein组，术后无复发及股疝形成，住院时间较短，术后疼痛轻，恢复自主活动时间及住院时间短，射精痛、术后疼痛及异物感、术后血肿发生率均低于Lichtenstein组。结论改良Kugel手术治疗成人初发腹股沟疝具有良好的发展潜力，值得推广应用。Objective To explore the clinical application of modified Kugel surgical treat- ment for initial - attack inguinal hernia. Method A total of 60 patients with unilateral inguinal hernia who were treated in our hospital between August 2007 and March 2009 were randomly divided into 2 groups：Modified Kugel group, in which the patients were treated with modified Kugel surgery and the con- trol group in which the patients were subjected to Lichtenstein operation. The basic features before the op- eration, operative time, post - operative complications, hospital stay and reoccurrence rate were compared between the two groups. Reslllts The operation was performed smoothly in all the patients. All the pa- tients could get out of bed immediately after the operation and recover diet 6 h after the operation. No uri- nary retention occurred. The wound were well healed. Modified Kugel group had shorter operative time, shorter hospital stay, less postoperative pain, ejaculation pain and foreign body sensation,lower haematoma rate than Lichtenstein group did. No postoperative recurrence and femoral hernia formation were found in modified Kugel group. Conclusion Modified Kugel operation is effective in the treatment for initial - attack inguinal hernia and merits generalization.

关 键 词：腹股沟疝 改良Kugel手术 LICHTENSTEIN术 

分 类 号：R656.21[医药卫生—外科学]