目的 比较腹膜前入路平片及疝环充填式无张力修补治疗腹股沟疝的疗效.方法 回顾性分析应用平片及疝环充填式无张力修补术两种方法 的手术时间、术后恢复时间、术后并发症及复发率.结果 均获随访,前入路腹膜修补组随访24.7个月,疝环充填式修补组随访25.9个月,两组平均手术时间、住院时间、术后疼痛、阴囊积液及恢复日常生活时间差异无统计学意义(P>0.05),术后异物感疝环充填式3例,腹膜前入路1例,疝环充填式复发1例,前入路腹膜前修补复发3例(P<0.05).结论 在腹股沟疝无张力修补治疗中,提倡治疗的个体化,选择性应用平片及疝环充填式无张力疝修补术.%Objective To evaluate and compare the therapeutic effect of two different open tension - free herniorrhaphies for inguinal hernia,Rutkow and preperitoneal anterior approach. Methods The operative duration, postoperative recovery time, postoperative complications and recurrence rate of the two methods were retrospectively analyzed. Results The preperitoneal anterior approach group was followed up for 24. 7 months, and the Rutkow group was followed up for 25. 9 months. No significant differences were found between the two groups in operative duration, hospital stay,time for returning to work, postoperative pain or rate of scrotal edema( P > 0. 05 ). In Rutkow group, there were 3 cases of foreign body sensation and 1 case of recurrence; In preperitoneal anterior approach group, the number was 1 and 3 respective-ly( P <0.05 ). Conclusion Treatment of tension - free inguinal hernia repair should be individualized, and Rutkow and preperitoneal anterior approach should be selectively applied.
展开▼
