假体材料在基层医院一期治疗绞窄性腹股沟疝的前瞻性研究

目的对基层医院平片假体材料一期治疗绞窄性腹股沟疝的疗效和可行性进行前瞻性研究。方法将2007年5月至2009年12月收治的绞窄性腹股沟疝患者随机分为试验组(无张力疝修补术组)和对照组(传统手术组),试验组采用Gore-Tex补片行平片无张力疝修补术,对照组则仅行疝囊高位结扎术或加行传统疝修补术。比较两组手术时间、Α院天数和术后局部感染情况,并通过随访了解两组短期疗效(12个月)的差异。结果共入组23例患者,试验组12例,对照组11例。试验组手术时间明显延长,而其平均住院天数和术后复发率明显减少,而两组的局部感染情况无明显差异。结论在严格规范的手术治疗基础上,无张力疝修补术一期治疗成年人绞窄性腹股沟斜疝创伤小、恢复快、复发率低,并且平片无张力疝修补技术容易掌握,价格低廉,适合于基层医院开展。

Prospective study on the Lichtenstein's tension-free repair of strangulated inguinal hernia in primary hospitals

Objective To explore the effects and feasibility of the Lichtenstein＇s tension-free repair of strangulated inguinal hernia in primary hospitals.Methods The strangulated inguinal hernia cases were randomly divided into treatment group（Lichtenstein＇s tension-free repair with Gore-Tex patches）and control group（conventional surgery）from May 2007 to December 2009.The operation time,the days of stay and the relapse rate were compared with both groups.Results The average operation time,the average length of stay and the relapse rate were obviously diminished in the treatment group（12 cases）than the control group（11 cases）,with no increase of local infection rate.Conclusions Based on strict surgical treatment,Lichtenstein＇s tension-free repair of strangulated inguinal hernia is better than conventional surgery.With low price,the tension-free repair with patch is easily to handle and fitted to widely carried out in primary hospitals.