前后入路无张力疝修补术治疗成人腹股沟疝的对比研究

The comparative study of anterior and posterior approach in treatment of tension——free adult inguinal herniorrhaphy

目的:探讨前、后入路无张力疝修补术治疗腹股沟疝的临床特点及效果。方法回顾性分析后入路Ku-gel法(64例)修补术和前入路Lichtenstein法(70例)治疗腹股沟疝患者的临床资料。结果70例前入路单侧平均手术时间(57.80±5.32)min,平均住院天数(5.64±0.59)d,阴囊血肿1例,髂腹股沟神经痛5例,术区异物感10例,无切口感染。术后随访4-36月,无复发,并发症发生率8.57%.64例后入路单侧手术时间(41.59±6.81)min,平均住院天数(4.83士0.72)d,无阴囊血肿、切口感染、术区异物感和髂腹股沟神经痛病例,术后随访4-36月,无复发,无并发症发生率。结论后入路Kugel法疝修补术较前入路Lichtenstein法疝修补术创伤更小、恢复更快、并发症更少的特点,具有临床推广应用价值。

Objective To investigate the curative effectiveness and clinical characteristics of anterior and posterior approach inguinal herniorrhaphy.Methods The clinical data of 134 patients with anterior or posterior inguinal herniorrhaphy were retrospectively analyzed.Results 70 cases were treated with anterior inguinal herniorrhaphy.whose time of unilateral operation was(57.80±5.32) min and the average hospital stay was(5.64±0.59) days.There were 1 cases of scrotal hematoma,5 cases of ilioinguinal nerve pain and 10 case of postoperative foreign body sensation 64 cases were treated with posterior approach inguinal herniorrhaphy.whose time of unilateral-operation was(41.59±6.81)min and the average hospital stay was(4.83±0.72) days.Conclusion Posterior approach inguinal herniorrhaphy is characterized by smaller wound,faster recovery and fewer complications than anterior approach inguinal herniorrhaphy.