摘要
目的:探讨分型选择开放式无张力修补术治疗腹股沟疝的疗效与安全性。方法:选取2014年10月~2016年10月某院收治的腹股沟疝患者96例,按照Gilbert和Rutkow分型标准将研究对象分为1组34例(I、II型)、2组32例(III型)、3组30例(IV~VII型)。为研究对象行分型选择开放式无张力修补术,1组病例行平片修补术,2组病例行填充式网塞修补术,3组病例行腹膜前修补手术,对比临床疗效及安全性。结果:1组、2组、3组腹股沟疝治疗有效率分别为97.1%、96.9%、96.7%,比较各组数据差异无统计学意义(P>0.05);1组、2组、3组并发症发生率分别为11.8%、9.4%、10.0%,比较各组数据差异无统计学意义(P>0.05)。结论:分型选择开放式无张力修补术治疗腹股沟疝患者,疗效满意,安全性佳,值得临床进一步借鉴与应用。
Objective:To investigate the curative effect and safety of the type selection of open tension-free hernia repair on inguinal hernia.Methods:96 patients with inguinal hernia admitted and cured in a hospital from October 2014 to October 2016 were selected.According to Gilbert and Rutkow type classification standards,these study objects were divided into Group 1 including 34 cases(TypeⅠandⅡ),Group 2 including 32 cases(TypeⅢ)and Group 3 including 30 cases(TypeⅣ~Ⅶ).All the study objects were treated with the type selection of open tension-free hernia repairation,with cases in Group 1 receiving the Lichtenstein operation,cases in Group 2 receiving the infilled mesh plug hernioplasty and cases in Group 3 receiving the preperitoneal repair operation,then compared clinical curative effect and safety among the three operations.Results:The effective treatment rates for inguinal hernia patients in Group 1,Group 2 and Group 3 were 97.1%,96.9%and 96.7%respectively.The difference among these data had no statistical significance(P>0.05).The complication possibilities for Group 1,Group 2 and Group 3 were 11.8%,9.4%and 10.0%respectively.The difference among these data had no statistical significance(P>0.05).Conclusion:The type selection of open tension-free hernia repair achieves a satisfying curative effect and an excellent safety in the treatment of patients with inguinal hernia.Therefore,it is worth being used for future reference and being applied in clinical practices.
作者
王茂强
黄焕基
孙海峰
陈正修
何灵生
王建宇
Wang Maoqiang(Department of First Surgery,Dongguan Fenggang Hospital,Dongguan 523695)
出处
《数理医药学杂志》
2019年第2期167-169,共3页
Journal of Mathematical Medicine
关键词
分型
开放式无张力修补术
腹股沟疝
疗效
安全性
type
open tension-free hernia repair
inguinal hernia
curative effect
safety