Lichtenstein术、Rutkow术与Millikan术治疗腹股沟疝的疗效比较

    Comparison of Lichtenstein,Rutkow and Millikan procedures for treatment of inguinal hernia

    • 摘要: 目的:比较Lichtenstein、Rutkow与Millikan疝修补术的临床效果。方法:38例采用平片式无张力疝修补术(Lichtenstein术式),47例采用疝环充填式无张力疝修补术(Rutkow术式),28例采用改良疝环充填式无张力疝修补术(Millikan术式)。比较3种手术方法在手术时间、手术后疼痛、住院时间、住院费用、恢复工作时间、术后并发症和复发率的差别。结果:3组患者在手术时间、手术后疼痛、恢复工作时间、术后并发症和复发率差异均无统计学意义(P>0.05)。在住院费用上Lichtenstein组低于其他2组(P<0.01)。在术后异物感方面Rutkow组明显高于其他2组(P<0.01)。结论:3种无张力疝修补术治疗单侧原发性腹股沟疝疗效肯定。其中,Lichtenstein术异物感轻、费用低,应为治疗原发性腹股沟疝的首选术式。

       

      Abstract: Objective:To compare the clinical effects of Lichtenstein,Rutkow and Millikan procedures on inguinal hernia repair.Methods:Thirty-eight patients received mesh tension-free hernioplasty (Lichtenstein procedure),forty-seven patients mesh-plug tension-free hernioplasty (Rutkow procedure) and twenty-eight patients modified mesh-plug tension-free hernioplasty (Millikan procedure).The operation time,postoperative pain,time of hospital stay,time to return to work,cost,postoperative complication and recurrent rate were compared among the three groups.Results:There was no significant difference in operation time,postoperative pain,time of hospital stay,time to return to work,postoperative complication and recurrent rate among the three groups (P>0.05).However,Lichtenstein group had a significantly lower cost than the other two groups (P<0.01).Rutkow group had a higher incidence of foreign body sensation than the other two groups (P<0.01).Conclusions:The three types of tension-free hernioplasty are all effective in treatment of primary monolateral inguinal hernia.Lichtenstein hernioplasty is more comfortable and cost-effective,and so is the choice procedure for repair of primary inguinal hernia.

       

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