两种无张力疝修补术对复发疝的疗效对比分析

Two kind prosthesis of tension-free hernia for relapse hernia:comparative analysis of therapeutic efficiency

目的比较两种无张力疝修补术的临床特点和适应证。方法采用美国Bard公司的疝环充填物和网状补片及美国Bard公司的M arlex网片(15 cm×15 cm),对32例多种类型的复发性腹股沟疝行无张力修补,其中疝环充填式(Rutkow手术)22例(A组),改良双层补片术10例(B组)。结果A组手术时间、下床时间、住院时间均显著少于B组(P<0.01);而两组术后自主能力恢复时间和住院费用比较,无显著差异(P>0.05)。结论无张力疝修补术比传统的手术方式具有很大的优势;疝环巨大的复发性腹股沟疝者,应尽量选用改良双层补片术,疝环较小的复发性腹股沟疝可选用Rutkow手术。

Objective Comparing the clinical characteristics fo two kind-prosthesis of tension-free hernia and the indications. Methods Using the hernia-ring filling materials from America Bard company and the reticular filling lamina and marlex reticular pleat from America Bard company （ 15 cm × 15 cm） for 32 cases of multiple types of recurrent inguinal hernia were treated with prosthesis of tension free hernia. Of them, 22 cases （ A group） were treated with hernia ring plombage （ Rutkow operation） , 10 caes were treated by modified double layer filling materials （B group ） . Results In A group the operation time, leaving-bed time and hospitalization time were markedly less than B group （ P 〈 0. 01 ） ; But there were no markedly different in two groups about their self-decide on ones own and the hospitalization cost were no significant difference （ P 〉 0. 05 ） , Conclusion Prosthesis of tension-free hernia is having a great superiority, which is more superiority than the traditional operation. The relapse patients with large inguinal hernia should be treated with the improved double layer filling lamina; the recurrent patient with small hernia ring should be treated with Rutkow operation.