Lichtenstein术与Rutkow术治疗腹股沟疝的疗效比较

    Comparison of the effect of Lichtenstein and Rutkow procedures in the treatment of inguinal hernia

    • 摘要: 目的:比较平片式无张力疝修补术(Lichtenstein术)和网塞充填式无张力疝修补术(Rutkow术)治疗腹股沟疝的临床疗效。方法:采用回顾性研究的方法,搜集2011年6月至2014年12月行单侧开放性无张力腹股沟疝修补术并获得随访的患者共111例,根据手术方式分为Lichtenstein术组和Rutkow术组,比较2组的临床疗效。结果:2组患者术前一般情况、合并症、疝类型、疝分型、手术时间、术后下床时间、是否需镇痛、术后恢复时间、阴囊肿胀、手术部位感染、复发等差异均无统计学意义(P>0.05)。Lichtenstein术组术后3个月疼痛视觉模拟评分及异物感均低于Rutkow术组(P<0.05和P<0.01)。结论:Lichtenstein术费用低、术后异物感轻、慢性疼痛发生率低,且在复发率、并发症、术后恢复情况方面与Rutkow组无显著差异,可以作为基层医院腹股沟疝的首选术式。

       

      Abstract: Objective: To compare the clinical effects of Lichtenstein and Rutkow procedures in the treatment of inguinal hernia.Methods: The data of 111 patients treated with one-side open tension-free herniorrhaphy combined with following up were retrospectively analyzed from June.2013 to Dec.2014.The patients were divided into the Lichtenstein and Rutkow operation group according to the operation pattern.The clinical effects between two groups were compared.Results: The differences of preoperative general status,complication,hernia type,operation time,postoperative activity and recovery time,scrotal edema,surgical site infection and recurrence between two groups were not statistically significant(P>0.05).The VAS score of postoperative 3 months and foreign-body sensation in Lichtenstein operation group were lower than those in Rutkow operation group(P<0.05 and P<0.01).Conclusions: The Lichtenstein operation is less cost,light foreign-body sensation and less chronic pain.There were no differences in the recurrence,complication and postoperative recovery between two groups.Lichtenstein procedure can be regarded as the principal choice in the treatment of hernia in primary hospital.

       

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