改良Kugel补片治疗98例成人腹股沟疝的临床应用

目的探讨改良Kugel补片在成人腹股沟疝治疗中的理论基础和临床应用效果评价。方法总结2005年1月～2008年1月采用美国Bard公司生产的Modified Kugel Hernia Patch(内存记忆弹力环的改良Kugel补片)行改良Kugel腹股沟疝修补术治疗98例成人腹股沟疝的临床资料。结果手术时间较短,术后恢复快,平均住院时间5d。术后切口疼痛和不适感轻,本组病例无并发症。随访6～18个月无1例复发。结论改良Kugel腹股沟疝修补技术是针对于解决耻骨肌孔结构薄弱及缺损这一腹股沟疝发生的解剖学基础的腹股沟疝修补技术,具有手术彻底、术后恢复快、并发症少、复发率低的优点,从根本上解决腹股沟疝患者多种疝并存及术后容易复发的特点,是目前腹股沟疝治疗中较理想的手术方式。

Objective To discuss the theoretical foundation and results of adult inguinal hernia repair using modified Kugel patch. Methods Clinical date of 98 adult cases with inguinal hernia treated with Bard Modified Kugel Hernia Patch in our hospital from Jan 2005 to Jan 2008 were analyzed retrospectively. Results Operating time and hospital stay as well as complications were significantly short.Patients felt incision pain and discomfort lightly. All cases were healed withouts complications and no recurrence during 6- 18 months. Conclusion Modified Kugel patch repair is conducive to resolving the weakness of myopectineal orifice which is the anatomical basis of inguinal hernia, it is a fundamental resolution to the characteristics of a variety of hernia co-exist and recurrence easily, so it is a better repair with the advantage of thorough treatment, recovery rapidly, fewer complication, and lower recurrences.