UHS与Lichtenstein两种术式对不同类型腹股沟疝的疗效比较  

Comparative study between UHS and Lichtenstein in the treatment of inguinal hernia

作　　者：卫骆云 肖丹宇[2] 方东林[2] 李洪伟 吴娜 施宾宾 

机构地区：[1]余杭区中医院外一科,浙江杭州311106 [2]余杭区第一人民医院普外科

出　　处：《全科医学临床与教育》2012年第5期523-525,共3页Clinical Education of General Practice

摘　　要：目的研究超普疝修补装置(UHS)与李金斯坦(Lichtenstein)两种术式对不同类型腹股沟疝的治疗效果。方法选择720例腹股沟疝病人按随机分组原则实施UHS或Lichtenstein手术,术中确认腹股沟疝的类型。观察两组的操作耗时、并发症和复发率等。结果两组的手术耗时,腹股沟区慢性疼痛、阴囊水肿发生情况比较,差异均无统计学意义(t=1.21,χ2分别=0.10、0.22,P均>0.05),两组均无切口感染;术后随访提示两组手术病人Ⅰ、Ⅱ、Ⅵ型疝均无复发病例,Lichtenstein组Ⅴ型疝复发1例。Ⅲ、Ⅳ型疝UHS组复发率低于Lichtenstein组,差异均有统计学意义(χ2分别=7.56、4.97,P均<0.05)。结论两种手术操作耗时相当,术后并发症相似。Ⅰ、Ⅱ、Ⅴ、Ⅵ型腹股沟疝复发率均极低,Ⅲ、Ⅳ型腹股沟疝UHS手术疗效优于Lichtenstein手术。Objective To study the curative effect of ultrapro hernia system（UHS） and Lichtenstein operation in different types of inguinal hernia. Methods A total of 720 cases of inguinal hernia patients were randomized into two groups ： UHS and Lichtenstein operation groups. The types of inguinal hernia were confirmed during operation. The data of operative time-consuming, complications and recurrence rate in different operative methods were collected and analyzed. Results There were no statistic differences between two groups in operative time-consuming,postoperative chronic pain in the groin area and seroma （t=1.21,X2=0.10,0.22, P〉0.05）. There was no incision infection in all patients. There was no recurrent case in type Ⅰ , Ⅱ , and Ⅳ in two groups; one recurrent case in type V in Lichtenstein group. In type m and IVinguinal hernia, recurrence rate using UHS was lower than that using Lichtenstein with statistic differences（x2=7.56, 4.97, P〈0.05）. Conclusions Operative time and postoperative complications are similar in two operations. Inguinal hernia recurrence rate is extremely low in typeⅠ , Ⅱ , Ⅴ, ⅥI whether Lichtenstein or UHS. In inguinal hernia of typeⅢand Ⅳ, using UHS is better than using Lichtenstein.

关 键 词：腹股沟疝 腹膜前间隙 疝修补术 超普疝修补装置 

分 类 号：R656.2[医药卫生—外科学]