中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
35期
63-65
,共3页
腹股沟疝%前入路%后入路
腹股溝疝%前入路%後入路
복고구산%전입로%후입로
Inguinal hernia%Anterior%Posterior approach
目的：探讨腹股沟疝修补术治疗分别应用前入路PHS术式及后入路Kugel补片的临床效果。方法选择2006年6月~2012年6月本科室145例腹股沟疝患者，根据术式分为对照组(94例)和观察组(51例)，对照组患者实施前入路PHS疝修补，观察组患者实施后入路Kugel补片疝修补，术后对比两组患者的疼痛、复发等指标。结果观察组术后24 h VAS评分为(1.83±0.81)分，随访慢性疼痛发生率为1.96%(1/51)，均低于对照组的(3.26±1.47)分、7.45%(7/94)，差异有统计学意义(t=5.452，P=0.009；字2=7.276，P=0.003)。观察组阴囊肿胀发生率、局部异物感发生率低于对照组，差异有统计学意义(P<0.05)；两组手术时间、住院时间、恢复正常活动时间、感染率、复发率比较，差异无统计学意义(P>0.05)。结论 Kugel补片后入路术式创伤小，恢复快，安全性高，不易复发，临床可选择此术式。
目的：探討腹股溝疝脩補術治療分彆應用前入路PHS術式及後入路Kugel補片的臨床效果。方法選擇2006年6月~2012年6月本科室145例腹股溝疝患者，根據術式分為對照組(94例)和觀察組(51例)，對照組患者實施前入路PHS疝脩補，觀察組患者實施後入路Kugel補片疝脩補，術後對比兩組患者的疼痛、複髮等指標。結果觀察組術後24 h VAS評分為(1.83±0.81)分，隨訪慢性疼痛髮生率為1.96%(1/51)，均低于對照組的(3.26±1.47)分、7.45%(7/94)，差異有統計學意義(t=5.452，P=0.009；字2=7.276，P=0.003)。觀察組陰囊腫脹髮生率、跼部異物感髮生率低于對照組，差異有統計學意義(P<0.05)；兩組手術時間、住院時間、恢複正常活動時間、感染率、複髮率比較，差異無統計學意義(P>0.05)。結論 Kugel補片後入路術式創傷小，恢複快，安全性高，不易複髮，臨床可選擇此術式。
목적：탐토복고구산수보술치료분별응용전입로PHS술식급후입로Kugel보편적림상효과。방법선택2006년6월~2012년6월본과실145례복고구산환자，근거술식분위대조조(94례)화관찰조(51례)，대조조환자실시전입로PHS산수보，관찰조환자실시후입로Kugel보편산수보，술후대비량조환자적동통、복발등지표。결과관찰조술후24 h VAS평분위(1.83±0.81)분，수방만성동통발생솔위1.96%(1/51)，균저우대조조적(3.26±1.47)분、7.45%(7/94)，차이유통계학의의(t=5.452，P=0.009；자2=7.276，P=0.003)。관찰조음낭종창발생솔、국부이물감발생솔저우대조조，차이유통계학의의(P<0.05)；량조수술시간、주원시간、회복정상활동시간、감염솔、복발솔비교，차이무통계학의의(P>0.05)。결론 Kugel보편후입로술식창상소，회복쾌，안전성고，불역복발，림상가선택차술식。
Objective To investigate the clinical effect of anterior PHS operation and posterior Kugel patch for inguinal hernia repair. Methods 145 cases of patients with inguinal hernia from June 2006 to June 2012 were selected,and were divided into control group (94 cases) and observation group (51 cases) according to surgical methods,control group were implemented with PHS hernia repair,observation group were implemented with Kugel mesh hernia repair,postoperative pain,relapse and other indicators were compared between two groups. Results VAS score of observation group after 24 h was 1.83±0.81,follow-up of chronic pain incidence was 1.96% (1/51),lower than 3.26±1.47 and 7.45% (7/94) of the control group,the difference was significant (t=5.452,P=0.009;χ2=7.276,P=0.003).The incidence of scrotal swelling and local foreign body sensation in observation group was lower than that of the control group,the difference was significant (P<0.05);there was no significant difference about operative time,hospital stay,return to normal activity time,infection,re-currence rate between the two groups (P>0.05). Conclusion Kugel posterior inguinal approach has smaller surgical trauma and quicker recovery,which is more safe with less recurrence,should be a priority for clinical selection.
