开放式前后入路无张力疝修补术治疗腹股沟疝的疗效观察  

The effect observation on tension-free herniorrhaphy between anterior and posterior approach in inguinal hernia patients

作　　者：王鹏飞[1] 朱茜[1] 韩少良[1] 刘纳新[1] 朱冠保[1] 

机构地区：[1]温州医学院附属第一医院普外科,浙江325000

出　　处：《中华内分泌外科杂志》2013年第6期487-490,共4页Chinese Journal of Endocrine Surgery

基　　金：基金项目：浙江省自然科学基金资助项目（Y2100660）

摘　　要：目的探讨开放式前后入路腹股沟疝修补术的手术结果及临床转归情况，以选择最佳的手术方式。方法将366例腹股沟疝患者根据手术方入路方式不同，分为A、B组。其中A组的186例应用普理灵疝装置（proleneherniasystem，PHS）前入路方式进行疝修补，B组的180例应用Kugel补片后入路方式进行疝修补，并比较2组的手术操作、术后恢复及手术后并发症的情况。结果A、B组间的手术时间（43±9vs42±10）、住院时间（56±15vs53±15）、切口感染（3vs0）及复发率（2vs1）比较，差异无统计学意义（P〉0．05），但B组患者的术后伤口明显疼痛有13例、伤口肿胀反应18例、局部异物感12例、阴囊水肿8例明显优于A组患者（P〈0．05）。结论与前入路PHS修补术相比，后入路Kugel补片修补手术的创伤小、并发症发生率低及恢复快。Objective To choose the best surgical procedure, the surgical results and clinical outcomes of inguinal hernia repair with either an open anterior or posterior approach, were studied. Methods The 366 cases of inguinal hernia patients according to surgical side approach in different ways, is divided into A, B groups, Among group A of 186 cases repaired with application of prolene hernia system （PHS） via anterior approach, while group B of 180 cases surgically treated with Kugel technique with a posterior approach, and surgical proce- dure, postoperative recovery and complications were compared between these two groups, respectively. Results No significant differences were found in operation time, hospital stay, ineisional infection rate and the recurrence rate （P 〉 0. 05 ）. However, compared with group, the group B patients had less pain of the wound, slight postoperative swelling response, less foreign body aesthesis and hydrocele （ P 〈 0. 05 ）. Conclusion Compared with the anterior approach surgery, the posterior approach （ Kugel technique） has less traumatic, low complication rate and rapid recovery after operation.

关 键 词：腹股沟疝 疝修补 前入路 后入路 

分 类 号：R656.2[医药卫生—外科学]