改良Kugel与Lichtenstein修补术治疗腹股沟复发疝的疗效比较  

Comparison of modified Kugel and Lichtenstein repair for recurrent inguinal hernia

作　　者：吴向嵩[1] 靳云鹏[1] 穆嘉盛[1] 董谦[1] 

机构地区：[1]上海交通大学医学院附属新华医院普外科,上海200092

出　　处：《外科理论与实践》2016年第6期521-524,共4页Journal of Surgery Concepts & Practice

摘　　要：目的:比较改良Kugel(modified Kugel,MK)修补术和Lichtenstein修补术治疗腹股沟复发疝的安全性及有效性。方法:选取2010年1月至2013年12月在我院治疗的91例成人腹股沟复发疝病人,分为MK组(63例)和Lichtenstein组(28例)。比较两组平均手术时间、术后住院时间、恢复正常活动时间、住院费用以及术后并发症。结果 :两组在平均手术时间、平均住院时间、恢复正常活动时间、术后并发症发生率差异均无统计学意义。MK组住院费用显著高于Lichtenstein组,而术后复发率则显著低于Lichtenstein组。结论:MK修补治疗腹股沟复发疝具有一定的安全性及有效性。Objective To compare the safety and effectiveness between modified Kugel（MK）repair and Lichtenstein repair for recurrent inguinal hernia. Methods A total of 91 patients with recurrent inguinal hernia from Jan 2010 to Dec2013 in Xinhua Hospital were retrospectively analyzed. Sixty-three cases were divided into MK group and 28 cases in Lichtenstein group. The clinical data including operation time, postoperative hospital stay, recovery time, hospital costs and postoperative complication were analyzed between two groups. Results No significant difference was observed between two groups in terms of operational time, postoperative hospital stay, recovery time and postoperative complication rate. MK repair led to significantly higher hospital costs and significantly lower incidence of postoperative recurrence when compared with those in Lichtenstein group. Conclusions MK repair offers a safe and effective option to treat recurrent inguinal hernia.

关 键 词：腹股沟疝 复发 疝修补术 

分 类 号：R656.21[医药卫生—外科学]