165例腹外疝无张力修补术的临床统计分析

Clinical Statistic Analysis in Tension-free Repair of Abdominal Wall Hernias in 165 Cases

为了探讨腹外疝无张力修补术的临床疗效、运用价值,对比分析了165例无张力修补术的临床资料及其主要术式的应用情况.结果显示:165例腹外疝患者行无张力疝修补术后随访6～48个月均无复发;102例/侧Lichtenstein手术5、9例/侧Rutkow手术和12例/侧IPOM手术在住院天数、并发症发生率、复发率等方面的统计学差异并不明显(P>0.05);材料费、手术费以及总治疗费用差异均达到显著水平(P<0.05).与传统腹外疝修补术相比,无张力修补术疗效可靠,术后疼痛轻,恢复快,复发率低;其中,Lichtenstein手术较RutkowI、POM手术费用更低,且操作简单、适应症宽,尤其适合在基层医院推广.

To discuss the clinical effect on tension-free repair of abdominal wall hernias and its application value,clinical data on 165 cases of tension-free repair of abdominal wal1 hernias were compared as well as the application of their main modus operandi,such as Litchtenstein operation,Rutkow and IPOM（intraperitoneal onlay mesh） operation in the applied situation,respectively.The results show that all the sufferers of 165 cases didn＇t recrudesce in from half year to four years after the operation.There are no obvious statistic difference in hospital days,incidence rate of complication,recurernce rates between 102 side Lichtenstein operation,59 side Rutkow operation and 102 side IPOM operation,but there are obvious statistic differences in material costs,operation fees and the total expenditures of treatment in hospital（P〈0.05）.To compare with the traditional repair of abdominal wal1 hernias,tension-free one has more credible curative effect,with less pain after operation,quicker recovery and lower recurrent rate.Litchtenstein operation is simpler,with lower expenditure and wider indications than Rutkow and IPOM ones,which is especially feasible for promotion in primary hospitals.