PHS和Rutkow两种疝修补术临床疗效观察  

Clinical comparative study of Rutkow and PHS in tension-free hernioplasty

作　　者：张昕[1] 李成华[1] 卞栋[1] 丁勇兴[1] 

机构地区：[1]安徽省蚌埠市第三人民医院普外科,233000

出　　处：《淮海医药》2015年第4期333-335,共3页Journal of Huaihai Medicine

摘　　要：目的通过对比两种不同的疝修补方式,探讨术后疗效及临床应用价值。方法回顾性分析我院2010年2月-2012年12月经同组医师手术治疗并获得随访的腹股沟疝患者156例,其中行PHS疝修补术75例、Rutkow疝修补术81例。比较2组的手术时间、术后恢复时间、住院时间、术后并发症以及复发情况。结果随访2~24个月,2组不同手术方式在手术时间、术后恢复时间、住院时间方面差异无统计学意义（P〉0.05）,在术后并发症发生率方面,PHS组术后异物感较Rutkow组明显减少,差异有统计学意义（P〈0.05或P〈0.01）。随访期间均无复发病例。结论 PHS和Rutkow两种疝修补术具有良好效果,PHS疝修补术术后患者异物不适感更低,进一步提高了患者的生活质量。Objective To compare two different ways of hernia repair and to explore the clinical application value and post-operation efficacy. Methods Data of 156 cases of hernia patients in our hospital were collected and retrospectively analyzed,who were treated and followed up by the same group of surgeons between February 2010 and December 2012 （ PHS 75 cases,Rutkow 81 cases）. The surgical duration, postoperative hospital stay, recovery time, complications and recurrence between the two groups were compared. SPSS13.0 statistical package was adopted for statistical analysis. Results In the 2 - 24 months＇follow-up, the two groups using different operation methods showed no significant difference in operative duration, postoperative hospital stay, and recovery time （ P 〉 0.05 ）. As for postoperative complications, there was apparently less sense of foreign body discomfort in the PHS group than in the Rutkow group. The difference was significant （ P 〈 0. 05, or P 〈 0. 01）. No recurrence occurred during the follow-up. Conclusion The two tension-free hernia repair methods have an ideal curative effect in treatment of adult inguinal hernia. Furthermore, PHS has less sense of foreign body discomfort, and can further improve pa- tients＇quality of life.

关 键 词：疝 腹股沟 疝修补术 RUTKOW PHS 对比研究 

分 类 号：R656.21[医药卫生—外科学]