三种疝修补术疗效对比研究.docVIP

三种疝修补术的疗效对比研究 　　[摘要] 目的 观察三种不同术式治疗腹沟股疝的临床疗效。 方法 将2011年1月～2013年1月在我院手术治疗的腹股沟疝患者108例纳入本研究，其中A组36例行疝环充填式修补术，B组36例行平片式疝修补术，C组36例行传统疝修补术，比较三组的手术时间、下床活动时间、术后住院时间、住院费用及术后复发率、并发症情况。结果 C组手术时间（64.20±15.37）min，下床活动时间（36.76±7.49）h，术后住院时间（8.64±1.23）d，分别明显长于A组、B组（P0.05）。A组患者住院费用最高，明显高于B组、C组（P0.05）。术后随访6个月～1年，三组术后复发率比较，差异具有显著性（χ2=6.315，P0.05）。 结论 疝环充填式修补术、平片式疝修补术均具有较传统疝修补术手术时间短、术后恢复快、住院时间短、并发症少、复发率低等优点，但住院费用较高。 　　[关键词] 疝环充填式修补术；平片式疝修补术；传统疝修补术 　　[中图分类号] R656.2 [文献标识码] B [文章编号] 1673-9701（2014）02-0144-02 　　The efficacy comparative study of three kinds of hernia repair 　　LI Caisheng 　　Zhengzhou City Jinshui District General Hospital，General Surgery，Zhengzhou 450003，China 　　[Abstract] Objective To observe the clinical efficacy of three different surgical in treatment of inguinal femoral hernia. Methods Among 108 patients with inguinal hernia surgery，A group of 36 cases adopted ring filling routine hernia repair，B group 36 adopted routine hernia repair flat sheet surgery，C group of 36 adopted regular traditional hernia repair，the operative time， ambulation time，postoperative hospital stay，cost of hospitalization and postoperative recurrence rate and complications were compared. Results The operative time of group C was 64.20±15.37 min，ambulation 36.76±7.49 h，postoperative hospital stay was 8.64±1.23 d，was significantly longer than the A group，B group（P0.05）.A group of patients with the highest cost of hospitalization was significantly higher than group B，C group（P0.05）. Patients were followed up for 6 months to 1 year，The difference was significant of recurrence rate. Conclusion Hernia ring filling repair，flat piece hernia repair surgery than traditional hernia repair time is short，rapid postoperative recovery，shorter hospital stay，fewer complications，recurrence rate，etc，but the higher cost of hospitalization. 　　[Key words] Ring filling hernia repair； Flat piece hernia repair； Traditional hernia repair 　　1889年Bassini首创腹股沟疝修补术，开创了腹股沟疝修补的新纪元，并不断出现多种腹股沟疝的修补方法，如疝环充填式修补术、平片式疝修补术[1]