腹股沟疝应用UHS腹膜前修补与疝环充填式修补的比较分析

Comparative study of preperitoneal tension-free herniorrhaphy with UHS and mesh-plug hernia repair

目的探讨应用超普疝修补装置(UHS)行腹膜前无张力疝修补术的优势。方法回顾性分析2010年1月至2014年6月,安徽医科大学第一附属医院收治成人腹股沟疝患者157例的临床资料。其中72例行腹膜前无张力疝修补术(UHS组),85例行疝环充填式无张力疝修补术(疝环充填组),比较二组手术时间、住院时间、术后疼痛发生率及复发率等。结果 UHS组的手术时间和术后住院时间分别为(53±7)min,(3.2±2.2)d,疝环充填组的手术时间和术后住院时间分别为(62±28)min,(4.6±4.1)d;UHS组术后疼痛发生率为2.78%,术后1年无复发,对照组术后疼痛发生率和术后1年复发率分别为15.29%,8.24%。采用SPSS16.0统计学软件分析比较上述数据,UHS组均优于疝环充填组(P<0.05)。结论与疝环充填式无张力疝修补术相比,UHS腹膜前无张力疝修补术能明显缩短手术时间和术后住院时间,减低患者术后疼痛发生率及复发率。

Objective To compare the clinical results of preperitoneal tension-free herniorrhaphy with ultrapro hernia system（ UHS） and open Mesh-plug hernia repair. Methods A retrospective analysis was conducted on 157 cases of adult inguinal hernia managed in the First Affiliated Hospital of Anhui Medical University,during January 2010 to June 2014. 72 cases were treated by the preperitoneal tensionfree herniorrhaphy with UHS,and the others underwent mesh-plug repair as control. All of clinic data of two groups were analyzed（ e. g.,operation time,hospitalization time,postoperative pain and recurrence rate）.Results The operation time for UHS group was（ 53 ± 7） min,and postoperative length of stay was（ 3. 2 ±1. 2） d. The operation time and postoperative stay of control group was（ 62 ± 28） min,（ 4. 6 ± 4. 1） d. The incidence of postoperative pain was 2. 78% in UHS group,and no recurrence. While the pain rate and recurrence in control group were 15. 29% and 8. 24%,respectively. The difference were significant as analyzed by SPSS 16. 0（ P〈0. 05）. Conclusion The results of two different operations are satisfactory.However,preperitoneal herniorrhaphy with UHS is superior to mesh-phug repair in terms of less operation time,recovery time,postoperative pain and recurrence.