Rutkow与Lichtenstein手术在腹股沟疝治疗中的临床疗效分析

Clinical analysis of Rutkow approach and Lichtenstein approach in the treatment of inguinal hernia

目的研究RUTKOW术式与LICHTENSTEIN术式治疗腹股沟疝临床疗效。方法 170例腹股沟疝住院患者按照随机数字法分为观察组(85例)与对照组(85例),对照组采取RUTKOW术式治疗,观察组采取LICHTENSTEIN术式治疗。比较两组手术时间,住院时间,术后并发症情况,术后疼痛持续时间及术后下床活动时间。结果观察组患者手术时间,住院时间均显著优于对照组(P<0.05)。两组术后并发症发生情况、术后疼痛持续时间及术后下床活动时间等差异无显著性(P>0.05)。结论 RUTKOW术式与LICHTENSTEIN术式治疗腹股沟疝,临床疗效均确切,LICHTENSTEIN术式手术时间短,住院费用低,可作为腹股沟疝患者治疗的首选方式。

[Objective] To study the clinical efficacy of Rutkow approach and Lichtenstein approach in the treatment of inguinal hernia. [ Methods ] 170 hospitalized patients with inguinal hernia were randomly divided into observation group （85 cases） and control group （85 cases）. The patients in control group were treated with Rutkow approach, and the patients in observation group tookLichtenstein approach. Operative time, hospital stay, postoperative complications, duration of postoperative pain and postoperative ambulation time in two groups were compared. [ Resuits] The operative time and hospitalization time in observation group were significantly decreased than that in control group （P 〈0.05）. There was no significant difference of the duration of postoperative pain, postoperative ambulation time and postoperative complications between the two groups. [ Conclusions ] Lichtenstein Rutkow surgical and surgical treatment of inguinal hernia, clinical efficacy are exact, Lichtenstein surgical is relatively short operation time, low cost of hospitalization, can be used to treat patients with inguinal hernia.