充填式无张力疝修补术与lichtenstein修补术治疗腹股沟疝的对比研究

A comparative study on Lichtenstein herniorrhaphy and Mesh plug (Rutkow method) for inguinal hernia

目的探讨Lichtenstein修补术治疗腹股沟疝的应用价值。方法对腹股沟疝患者施行Lichtenstein修补术115例,充填式无张力疝修补术(Rutkow修补术)135例;比较两组患者的手术时间、术后恢复情况及复发率。随访中位数19个月。结果两组手术时间差异无统计学意义(P>0.05)。在术后下床活动时间、生活自理时间、住院天数、恢复日常工作天数方面,Lichtenstein组与充填式无张力疝修补术组差异无统计学意义(均P>0.05)。Lichtenstein组、Rutkow组的手术均无明显并发症,复发率分别为0%、0.7%,差异无显著性。结论Lichtenstein修补术是腹股沟疝的良好修补法。

Objective To evaluate the value of Lichtenstein operation for inguinal hernia. Methods Lichtenstein operation was used for 115 patients of inguinal hernia, meanwhile 135 patients were treated by Mesh plug （ Rutkow method ） operation. We compared the operation time, post-operation recovery and recurrence rate between two groups. The average followed-up time was 19 monthe. Results The operation time was no difference （ P 〉 0.05 ）. The moving and recovering time, hospital stay, the days recovering ordinary work in Liehtenstein operation group were than that in Mesh plug operation group no diference（ P 〉 0. 05 ）. In the former group,No complications rate and recurrent rate, compared with 0% ,0.7% no diferenee （P 〉 0.05 ）. Conclusion Liehtenstein operation is a perfect repair procedures for inguinal hernia.