改良Kugel与UHS治疗腹股沟疝临床疗效分析  

Analysis of clinical effects on inguinal hernia repair with modified Kugel mesh and UHS mesh

作　　者：卢杏生[1] 徐勇[1] 

机构地区：[1]江苏省苏州市立医院本部,215002

出　　处：《中国现代医药杂志》2010年第12期50-52,共3页Modern Medicine Journal of China

摘　　要：目的比较改良Kugel补片与轻量型UHS补片行前入路腹膜前修补腹股沟疝的临床疗效及并发症。方法 2008年11月～2009年9月,应用改良Kugel补片35例及UHS补片32例行前入路修补方法治疗腹股沟疝。比较两组患者手术时间、手术后切口感染和血清肿等并发症、恢复正常生活和工作时间、术后短期(0.5～1.0年)复发率、术后8周疼痛或神经痛及6月时慢性疼痛或神经痛及异物感发生率。结果改良Kugel组:手术时间35.6±5.7min,恢复正常生活及工作时间17.4±5.2d,无切口血肿及感染,术后8周内疼痛或神经痛1.7±1.1,术后半年慢性疼痛或神经痛1.1±1.4,异物感12/35(34.2%),无复发。UHS组:手术时间36.1±5.3min,恢复正常生活及工作时间16.6±3.0d,无切口血肿及感染,术后8周内疼痛或神经痛1.3±1.2,术后半年慢性疼痛或神经痛0.3±0.5,异物感3/32(9.4%),无复发。改良Kugel组较UHS组术后半年慢性疼痛或神经痛及异物感发生率高,具有统计学差异(P<0.05)。两组手术时间、术后恢复正常生活及工作时间及术后8周内疼痛或神经痛发生率均无统计学差异(P>0.05)。结论轻量型UHS补片治疗腹股沟疝与改良Kugel补片疗效相似而并发症发生率低,有望成为今后疝修补术的更好的方法。Objective To evaluate and compare the effects of anterior approach preperitoneal repair of inguinal hernia with modified Kugel mesh and light weight UHS mesh. Methods Clinical data of 67 cases of inguinal hernia repair（i.e. two groups including 35 cases with modified Kugel mesh and 32 cases with UHS mesh） received during Nov in 2008 and Sep 2009 in our hospital were reviewed, including the operation time,wound infection and swelling complications, time for recovery to normal life and work, short-term（0.5~1.0 year after operation） recurrence rate, pain or neuralgia in 8 weeks, chronic pain or neuralgia and the occurrence rate of foreign body sensation in 6 months. Results For cases treated with modified Kugel mesh： the operation time was 35.6±5.7min, it took 17.4±5.2 days to recover for normal life and work, no wound infection or swelling, the postoperative pain or neuralgia in 8 weeks was 1.7±1.1, chronic pain or neuralgia in 6 months was 1.1±1.4, foreign body sensation was 12/35（34.2%） with no recurrence. For cases treated with UHS mesh： the operation time was 36.1±5.3min, it took 16.6±3.0 days to recover for normal life and work, no wound infection or swelling, the postoperative pain or neuralgia in 8 weeks after the operation was 1.3±1.2, chronic pain or neuralgia in 6 months was 0.3±0.5, foreign body sensation was 3/32（9.4%） with no recurrence. Modified Kugel mesh caused more chronic pain or neuralgia and foreign body sensation in six months after operation compared with UHS mesh with statistical difference（P0.05）. However, there was no statistical difference（P0.05） between the two groups in the operation time, time for recovery, postoperative pain or neuralgia in 8 weeks. Conclusion Light weight UHS mesh has similar clinical effects with modified Kugel mesh in inguinal hernia repair, but with a lower complication rate, it is prospectively a better clinical method for repairing hernia in future.

关 键 词：改良 KUGEL补片 UHS补片 腹股沟疝修补术 

分 类 号：R656.2[医药卫生—外科学]