腹膜前间隙修补术在女性腹股沟疝治疗中的价值

Clinical value of preperitoneal repair for the treatment of female inguinal hernia

目的探讨腹膜前间隙疝修补术在治疗女性腹股沟疝中预防股疝的疗效。方法回顾分析江苏大学附属人民医院2010年1月至2013年11月,行开放式腹股沟疝修补的成年1 338例患者临床资料,其中男1 216例,女性1 22例,术式包括Lichtenstein、Rutkow及Gilbert。比较3手术方式男女组疝修补术后继发股疝的情况。结果 Lichtenstein、Rutkow术后女性组继发股疝高于男性组,差异有统计学意义(P<0.05);Gilbert组术后女性无继发股疝,较Lichtenstein、Rutkow手术,差异均有统计学意义(P<0.05)。结论腹膜间隙修补术为全耻骨肌孔修补,在降低女性腹股沟疝修补术后继发股疝的发生具有临床价值。

Objective To investigate the efficacy of preperitoneal hernia repair in treatment of female inguinal hernia and its prevention effect of femoral hernia.MethodsFrom January 2010 to November 2013 in Zhenjiang People′s Hospital, 1 338 adult patients （male/female=1 216/122） who underwent open inguinal hernia repair were enrolled. Procedures including Lichtenstein, Rutkow and Gilbert techniques were compared on the morbidity of postoperative secondary femoral hernia.ResultsFor Lichtenstein group and Rutkow group, the incidence rate of postoperative secondary femoral hernia in female was significantly higher than that in male （P〈0.05）. In Gilbert group, no female patients showed secondary femoral hernia, which was significantly different from the female incidence rate in Lichtenstein group and Rutkow group （P〈0.05）.ConclusionAs a complete repair in myopectineal orifice, preperitoneal repair manifests a clinical value in reducing secondary femoral hernia after inguinal hernia repair in female patients.