腹股沟疝前、后入路无张力修补术的前瞻性随机对照研究

Preperitoneal and Posterior Approach in Tension-free Repair of Inguinal Hernia:A Prospective Randomized Controlled Study

目的对成年腹股沟疝患者应用平面补片进行前入路手术(Lichtenstein手术)和后入路手术(Kugel手术),比较2种术式的临床应用效果。方法采用前瞻性随机对照方法,将126例腹股沟疝患者随机分为前入路组与后入路组2组,每组63例,分别进行Lichtensten术和Kugel术,比较2组平均手术时间、平均住院时间、术后并发症发生率、术后复发率及住院期间费用,评价2种手术方法的疗效。结果在平均手术时间、异物感、腹股沟疼痛感、平均住院时间、平均住院费用等方面,2组比较差异均有统计学意义(P<0.05或P<0.01)。在切口血清肿、术后尿潴留、复发率等方面,2组比较差异均无统计学意义(P>0.05)。结论后入路手术治疗成年腹股沟疝具有一定优势,总体并发症发生率较前入路低。

Objective Aim to our study is to evaluate the value of the Lichtenstein and kugel repair using the flat patch in the treatment of inguinal hernia.Methods 126 patients with inguinal hernia were randomized into two groups.Group Ⅰ（n=63） included patients with the Lichtenstein repair,and group Ⅱ（n=63） included patients with the Kugel repair.The duration of the operation,average stay recurrence rate,postoperative complications and cost of hospitalization were recorded for the patients in both groups.Results Significant differences were observed for the duration of the operation,foreign body sensation,groin pain,average stay or cost of hospitalization between the groups（P〈0.05 or P〈0.01）.No significant differences were observed for the seroma,urinary retention,recurrence rate between the groups（P〉0.05）.Conclusion Kugel repair is a minimally invasive method with lower complication rates.