Rutkow、Lichtenstein术治疗腹股沟疝的临床分析

Clinical Analysis of Rutkow and Lichtenstein Operation for Inguinal Hernia

目的探讨Rutkow、Lichtenstein术治疗腹股沟疝的临床效果。方法选取本院收治的90例腹股沟疝患者作为研究对象。采用随机数字表法,将其分为两组,每组各45例患者。对照组实施Rutkow,研究组实施Lichtenstein,对比两组患者的临床治疗指标和并发症。结果研究组患者的手术时间、术后下床时间和住院时间均低于对照组,差异均具有统计学意义(P <0.05);两组患者的恢复正常活动时间比较,差异无统计学意义(P> 0.05);研究组患者的尿潴留、术后发热、切开感染、术后复发均高于对照组,但组间比较,差异无统计学意义(P> 0.05)。对照组术后异物感发生率高于研究组,差异具有统计学意义(P <0.05)。结论 Lichtenstein手术时间、术后下床时间和住院时间更短,可以首选Lichtenstein。

Objective To investigate the clinical effect of Rutkow and Lichtenstein in the treatment of inguinal hernia. Methods 90 cases of patients with inguinal hernia admitted to our hospital were selected as the research objects. The patients were divided into two groups with 45 patients in each group by random number table method. Rutkow was administered in the control group. The research group implemented Lichtenstein. The clinical treatment indexes and complications were compared between the two groups. Results The operation time, the time of getting out of bed after operation and the time of hospitalization in the study group were significantly lower than those in the control group(P<0.05). There was no significant difference in the time of resuming normal activities between the two groups(P>0.05). The urinary retention, fever, incision infection and recurrence in the study group were higher than those in the control group, but there was no significant difference(P>0.05). The incidence of foreign body sensation in the control group was higher than that in the study group(P<0.05). Conclusion Lichtenstein has shorter operative time, shorter time to get out of bed after operation and shorter time to stay in hospital. Lichtenstein is preferred.