腹股沟疝传统疝修补术、平片及疝环填充无张力疝修补术的临床研究  

Clinical study on traditional hernioplasty,mesh tension-free hernia repair and mesh plug tension-free hernioplasty for inguinal hernia

作　　者：孙刚[1] 赵英男[1] 李冬[1] 邢杰[1] 冯秉华 孙文阁[1] 张茉[1] 

机构地区：[1]武警辽宁总队医院大连分院普外科,辽宁大连116013

出　　处：《临床军医杂志》2015年第4期348-350,365,共4页Clinical Journal of Medical Officers

摘　　要：目的比较腹股沟疝传统疝修补术、平片无张力疝修补术、疝环填充无张力疝修补术的手术效果。方法回顾性分析我院2008年7月—2013年12月收治的150例腹股沟疝患者,采用传统疝修补术(Bassini组)42例,平片无张力疝修补术(Lichtenstein组)55例,疝环填充无张力疝修补术(Millikan组)53例,对三组患者的手术时间、住院时间、住院费用、并发症、复发率等指标进行比较。结果 Bassini组与Lichtenstein组手术时间比较,差异无统计学意义(P>0.05),Millikan组与Bassini组比较并发症少、复发率低、住院时间短(P<0.05),但住院费用较高(P<0.01)。结论平片无张力疝修补术及疝环填充无张力疝修补术简单易行,疗效可靠。Objective To compare the clinically therapeutic outcomes among traditional hernioplasty,mesh tension-frcc hernia repair and mesh plug tension-free hernioplasty for inguinal hernia.Methods A total of 150 patients with inguinal hernia treated in our hospital from July 2008 to December 2013 were enrolled in the study.They were divided into traditional hernioplasty （Bassini） group （n =42）,mesh tension-free hernia repair （Lichtenstein） group （n =55） and mesh plug tension-free hernioplasty （Millikan） group （n =53）.Their clinical data,such as operation time,rate of complication,hospital stay,hospital cost and rate of recurrent hernia,were observed and compared.Results There was no statistically significant difference in operation time between Bassini group and Lichtenstein group （P ＞ 0.05）.Compared with Bassini group,Millikan group did better in rate of complication,rate of recurrent hernia,and hospjtal stay （P ＜ 0.05）,except in the hospital cost that was comparatively high （P ＜ 0.05）.Conclusion Easy to be performed,mesh tension-free hernia repair and mesh plug tension-free hernioplasty are effective on inguinal hernia.

关 键 词：腹股沟疝 传统疝修补术 平片无张力疝修补术 疝环填充无张力疝修补术 

分 类 号：R656.21[医药卫生—外科学]