对比前后入路腹膜前放置Kugel补片治疗腹股沟疝的效果

Comparison of Anterior and Posterior Preperitoneal Placement of Kugel Patch for Inguinal Hernia

目的对前后入路腹膜前放置Kugel补片疝修补术治疗腹股沟疝的疗效和并发症进行比较。方法将84例腹股沟疝患者按随机数字表法分为2组:前入路组(n=38)采用开放式前入路腹膜前疝修补术,后入路组(n=46)采用开放式后入路腹膜前疝修补术,比较2组手术时间、术中出血量、住院时间、并发症发生率。结果前入路组手术时间少于后入路组[(36±14)min比(45±12)min,P=0.002 1];而术中出血量、住院时间、术后并发症发生率比较,2组差异均无统计学意义(P>0.05),2组均未见复发及补片感染现象。结论前后入路两种术式均安全有效,选择适合患者的术式,均可获得创伤小、恢复快、术后复发率低、并发症少的效果。

Objective To compare the efficacies and complications of anterior and posterior preperitoneal Kugel patch repair in the treatment of inguinal hernia.Methods A total of 84 patients with inguinal hernia were treated with preperitoneal herniorrhaphy randomly through either anterior approach（n=38）or posterior approach（n=46）.Operation time,intraoperative blood loss,length of hospital stay and incidence of complications were compared between the two groups.Results The operation time in anterior approach group was shorter than that in posterior approach group（（36±14）minutes vs（45±12）minutes,P=0.002 1）.There were no significant differences in intraoperative blood loss,length of hospital stay and incidence of postoperative complications between the two groups（P〉0.05）.No recurrence and patch infection occurred in both groups.Conclusion Both anterior and posterior preperitoneal Kugel patch placement is safe and effective for inguinal hernia.The suitable surgical procedure can reduce trauma,accelerate recovery,and decrease postoperative recurrence and complications.