比较Lichtenstein无张力疝修补术与传统疝修补术的治疗效果

Comparison of the Effect between Lichtenstein Tension-free Hernioplasty and Traditional Hernioplasty

目的探讨Lichtenstein无张力疝修补术治疗腹股沟疝的优势。方法 300例腹股沟疝患者按照手术方法不同分为观察组和对照组,每组150例。观察组实施Lichtenstein无张力疝修补术,对照组采用传统疝修补术,观察两组治疗效果和并发症发生情况。结果观察组手术时间、下床活动时间、住院时间均较对照组明显缩短（P〈0.05）。观察组术后并发症发生率低于对照组（P〈0.05）。术后2~3年随访,观察组复发率为0.7%,对照组15例复发,复发率为10.0%。结论与传统疝修补术相比,Lichtenstein无张力疝修补术可降低患者并发症发生率和复发率,缩短住院时间,是治疗腹股沟疝的较佳选择。

Objective To discuss the advantage of Lichtenstein tension-free hernioplasty in the treatment of inguinal hernia. Methods 300 cases of inguinal hernia patients according to surgical methods were divided into observation group and control group, 150 cases each. Observation group applied Lichtenstein tension-free hernioplasty, and control group used traditional hernioplasty. Results The operation time, ambulation time, hospital stay of observation group were significantly shorter than control group（P 〈0.05）. The incidence of postoperative complications in the observation group was lower than control group（P 〈0.05）. After 2 to 3 years follow-up, the recurrence rate was 0.7% in the observation group and 10.0% in the control group. Conclusion Compared with traditional hernioplasty, Lichtenstein tension-free hernioplasty can reduce morbidity and recurrence rates, shorten hospital stay time, and it＇s a better choice for the treatment of inguinal hernia.