CAJ | 학술논문

目的：比较经腹股沟切口前入路单纯腹膜前修补与改良Kugel修补术治疗原发性腹股沟疝，评价二种术式的疗效及优缺点。方法回顾性非随机对照方法，将2011年7月至2013年12月，上海交通大学医学院附属仁济医院嘉定分院收治的302例原发性腹股沟疝患者（其中17例为双侧）分为单纯腹膜前修补组（OP组）145例和改良Kugel修补组（MK组）157例。OP组采用Oval Patch补片修补，MK组采用Modified Kugel（MK）修补。比较二组患者在手术时间、住院时间、术后疼痛、手术并发症及复发率等方面的差异。结果二组患者的平均随访时间3～30个月，平均（12±5）个月。二组患者的平均手术时间、住院时间差异无统计学意义（t＝0．164、0．939，P＝0．870、0．349）。术后1周和1个月，OP组术后腹股沟区疼痛不适的发生率低于 MK组，差异有统计学意义（χ2＝4．704、2．297，P＝0．030、0．021）。结论经腹股沟切口单纯腹膜前修补与改良Kugel修补术相比，单纯腹膜前疝修补术操作简单，可明显降低术后患者疼痛不适的发生率，具有较好临床应用价值。
목적：비교경복고구절구전입로단순복막전수보여개량Kugel수보술치료원발성복고구산，평개이충술식적료효급우결점。방법회고성비수궤대조방법，장2011년7월지2013년12월，상해교통대학의학원부속인제의원가정분원수치적302례원발성복고구산환자（기중17례위쌍측）분위단순복막전수보조（OP조）145례화개량Kugel수보조（MK조）157례。OP조채용Oval Patch보편수보，MK조채용Modified Kugel（MK）수보。비교이조환자재수술시간、주원시간、술후동통、수술병발증급복발솔등방면적차이。결과이조환자적평균수방시간3～30개월，평균（12±5）개월。이조환자적평균수술시간、주원시간차이무통계학의의（t＝0．164、0．939，P＝0．870、0．349）。술후1주화1개월，OP조술후복고구구동통불괄적발생솔저우 MK조，차이유통계학의의（χ2＝4．704、2．297，P＝0．030、0．021）。결론경복고구절구단순복막전수보여개량Kugel수보술상비，단순복막전산수보술조작간단，가명현강저술후환자동통불괄적발생솔，구유교호림상응용개치。
Objective To compare and evaluate the effect of preperitoneal inguinal hernioplasty and Modified Kugel repair for primary inguinal hernia.Methods A retrospective non-randomized controlled study was conducted,302 patients (1 7 cases with bilateral hernias)admitted between July 201 1 and December 2013 were allocated to preperitoneal inguinal hernioplasty group(OP group,145 cases)and Modified Kugel group(MK group,1 57 cases).The operation time,hospital stay,postoperative pain,operative complications and recurrence rate were compared between two groups.Results The follow-up period ranged from 4 to 30 months (mean of 1 2 ±5 months).No significant differences were found between the two groups in the operation time and hospital stay (t=0.1 64,0.939,P=0.870,0.349),but the occurrence of postoperative groin pain at 1 week and 1 month was significantly lower in the OP group(χ2 =4.704,2.297,P=0.030,0.021 ).Conclusions Preperitoneal inguinal hernioplasty through an inguinal incision via the anterior approach is an effective tension-free procedure for inguinal hernia,resulting in less postoperative pain in the groin area.