腹股沟疝不同手术方式修补的比较

Comparison of different kinds of inguinal hernia repair

目的探讨腹股沟疝不同修补手术方法的优缺点。方法75例腹股沟疝行腹腔镜疝修补术,96例腹股沟疝行Bassini疝修补术,记录手术时间、术后下床活动时间、住院时间及各种并发症并进行比较。结果腹腔镜组手术全部成功完成,8例病人同时行阑尾切除术、4例病人同时行胆囊切除术。腹腔镜组手术时间、术后下床活动时间、住院时间较Bassini组少(P<0.05)。Bassini组术后并发症较腹腔镜组多,(χ2=14.3339,P<0.01)。腹腔镜组1例(1.33%)复发,Bassini组4例(4.25%)复发,差异无显著性(P>0.05)。结论腹腔镜疝修补术是一种安全而有效的无张力疝修补手术,较Bassini组手术后恢复时间短,术后并发症少。

Objective: To evaluate the virtue and shortcoming of different kinds of inguinal hernia repair operations. Methods: 75 cases treated with laparoscopy and 96 cases of Bassini repair were retrospectively compared. Results: 75 cases were operated successfully in laparoscopic mesh repair. Time of operation, up and about postoperatively and hospital stay of laparoscopy mesh repair were shorter than those of Bassini repair (P <0.05). The complications of Bassini repair were more than those of laparoscopy mesh repair (P < 0.01). There was no difference in recurrent rate between laparoscopy and Bassini repair groups (P >0.05). Conclusions: Laparoscopy hernia repair is a safe and effective technique with a lower major complication rate, compared to Bassini repair.