经肌耻骨孔入路在股疝无张力修补术中的临床应用

Clinical application of the muscle pubis keyhole into flat tablets in treatment of femoral hernia

目的：评价经肌耻骨孔入路植入平片在股疝治疗中的临床疗效。方法：回顾分析53例股疝修补术患者按手术方式分成两组,其中A组（27例）采用平片于肌耻骨孔无张力修补术治疗腹股沟疝,对照组B组（26例）采用传统股疝手术治疗。结果：随访6－24个月,A组与B组手术时间分别为（42±7）min和（41±4）min,差异无统计学意义;住院天数分别为（4.2±1.0）d和（7.3±1.2）d;术后并发症和复发率等A组均明显低于B组,差异有统计学意义（P〈0.05）。结论：经肌耻骨孔入路平片无张力修补股疝比传统手术操作简便,疼痛明显减轻,住院时间无延长,且恢复快,复发率、并发症明显少于对照组（P〈0.05）。

Objective To evaluate the muscle pubis Keyhole into flat tablets in treatment of femoral hernia： clinical efficacy. Methods Retrospective analysis of 53 patients with femoral hernia operations were divided into two groups, of which 27 were （A） the group using plain film in muscle pubis hole tensionfree inguinal hernia,26 cases of the control group （B） groups using traditional femoral hernia surgery. Results 6 -24 months for group A and group B operating time respectively （42 ± 7） and min （41 ± 4） min;are not siguificanflydifferent;number of inpatient days,respectively （4. 2± 1.0） and d （7. 3 ± 1.2） d;postoperative complication and recurrence rates were significantly lower in group a group b, a statistically significant difference （P 〈 0. 05）. Conclusion The plain film through muscle pubis hole repair femoral hernia mesh plug tension-free easy this technology than traditional surgery,to significantly reduce the pain,no extended stay in hospital and the recovery, recurrence and complication rates, significantly lower than the control group （P 〈 0. 05）.