Modified Kugel术式与疝环充填式无张力修补术的疗效对比分析  

Comparison of the curative effect between Modified Kugel surgery and hernia ring filling tension-free repair

作　　者：梅飞 王志庚 MEI Fei;WANG Zhigeng(Department of Surgery,Taicang Gang District Hospital,Suzhou,Jiangsu,215400,China)

机构地区：[1]江苏省太仓市港区医院外科,江苏苏州215400

出　　处：《当代医学》2021年第17期27-30,共4页Contemporary Medicine

摘　　要：目的探究Modified Kugel术式与疝环充填式无张力修补术的疗效。方法选取2018年12月至2019年12月本院收治的64例成人腹股沟疝患者作为研究对象,按照随机数字表法分为实验组与参照组,每组32例。参照组行疝环充填式无张力修补术,实验组行Modified Kugel术,比较两组手术指标、手术前后细胞因子水平、术后并发症发生率及复发率。结果两组手术时间比较差异无统计学意义;实验组出血量少于参照组,疼痛持续时间、下床时间、排气时间、住院时间均短于参照组,差异有统计学意义(P<0.05)。术后,实验组肿瘤坏死因子α、白细胞介素-6、C反应蛋白均低于参照组,差异有统计学意义(P<0.05)。实验组并发症发生率(9.38%)低于参照组(37.50%),差异有统计学意义(P<0.05)。实验组复发率为3.13%,参照组复发率为6.25%,两组比较差异无统计学意义。结论Modified Kugel术式临床应用效果显著,可明显降低患者炎性因子水平与并发症发生率,利于患者预后恢复,值得临床推广应用。Objective To explore the efficacy of Modified Kugel surgery and hernia ring filling tension-free repair.Methods 64 adult patients with inguinal hernia admitted to our hospital from December 2018 to December 2019 were selected as the research subjects and they were divided into the experimental group and the reference group according to random number table method,with 32 cases in each group.The reference group received hernia ring filling tension-free repair,and the experimental group received Modified Kugel surgery.The surgical related indexes,cytokine levels before and after surgery,postoperative complication rate and recurrence rate between the two groups were compared.Results There was no significant difference in operation time between the two groups.The amount of blood loss in the experimental group was less than that in the reference group,and the duration of pain,time to get out of bed,exhaust time and hospital stay in the experimental group were shorter than those in the reference group,and the difference was statistically significant(P<0.05).After operation,tumor necrosis factorα,interleukin 6 and C-reactive protein in the experimental group were lower than those in the control group,the difference was statistically significant(P<0.05).The incidence of complications in the experimental group(9.38%)was lower than that in the reference group(37.50%),and the difference was statistically significant(P<0.05).The recurrence rate of the experimental group was 3.13%,and the recurrence rate of the reference group was 6.25%,there was no statistically significant difference between the two groups.Conclusion Modified Kugel surgery has significant clinical application effect,which can significantly reduce the level of inflammatory factors and the incidence of complications in patients,and is conducive to the recovery of patients’prognosis,which is worthy of clinical application.

关 键 词：成人 腹股沟疝 疝环充填式无张力修补术 Modified Kugel术式 

分 类 号：R656.21[医药卫生—外科学]