腹股沟疝腹膜前修补与网塞修补术式的对比研究

目的探讨腹股沟疝腹膜前修补与网塞修补术式的对比研究。方法回顾性分析2010年1月至2018年1月,北京市房山区良乡医院接受开放腹股沟疝无张力修补术1 237例患者的临床资料,根据术式不同分为网塞组(703例)和腹膜前组(534例),分析比较2组患者术后感染、复发、慢性疼痛、异物感等不良事件的发生情况。结果术后随访12~24个月,腹膜前修补在复发率、补片感染、术后慢性疼痛方面均优于网塞组,差异均有统计学意义(P<0.05)。结论腹膜前间隙腹股沟疝无张力修补术安全、有效、可行性强,术后并发症发生率低。

Comparative study on the operative methods of inguinal hernia preperitoneal hernia repair and mesh plug hernia repair

ObjectiveTo investigate the comparative study on the operative methods of inguinal hernia preperitoneal hernia repair and mesh plug hernia repair. MethodsWe retrospectively analyzed the clinical data of 1 237 patients with inguinal hernia who underwent open tension-free hernia repair from January 2010 to January 2018 in Liangxiang hospital, Fangshan district, Beijing. They were divided into two groups of Plug and Pre-peritoneal according to operation method. The infection, recurrence, chronic pain, foreign body sensation were compared. Results1 237 cases were enrolled and followed up for 12 to 24 months. There are no significant difference between two groups in recurrence rate, mesh infection, chronic pain. Pre-peritoneal group was better than plug group in terms of recurrence rate, mesh infection and postoperative chronic pain, with statistically significant differences (P<0.05). Conclusionpre-peritoneal hernia repair is safe and effective with a lower complication rates.