UHS与Lichtenstein两种术式对不同类型腹股沟疝的疗效比较

目的 研究超普疝修补装置(UHS)与李金斯坦(Lichtenstein)两种术式对不同类型腹股沟疝的治疗效果.方法 选择720例腹股沟疝病人按随机分组原则实施UHS或Lichtenstein手术,术中确认腹股沟疝的类型.观察两组的操作耗时、并发症和复发率等.结果 两组的手术耗时,腹股沟区慢性疼痛、阴囊水肿发生情况比较,差异均无统计学意义(t=1.21,x2分别=0.10、0.22,P均＞0.05),两组均无切口感染；术后随访提示两组手术病人Ⅰ、Ⅱ、Ⅵ型疝均无复发病例,Lichtenstein组Ⅴ型疝复发1例.Ⅲ、Ⅳ型疝UHS纽复发率低于Lichtenstein组,差异均有统计学意义(x2分别=7.56、4.97,P均＜0.05).结论 两种手术操作耗时相当,术后并发症相似.Ⅰ、Ⅱ、Ⅴ、Ⅵ型腹股沟疝复发率均极低,Ⅲ、Ⅳ型腹股沟疝UHS手术疗效优于Lichtenstein手术.

Comparative study between UHS and Lichtenstein in the treatment of inguinal hernia

Objective To study the curative effect of ultrapro hernia system（UHS） and Lichtenstein operation in different types of inguinal hernia. Methods A total of 720 cases of inguinal hernia patients were randomized into two groups ： UHS and Lichtenstein operation groups. The types of inguinal hernia were confirmed during operation. The data of operative time-consuming, complications and recurrence rate in different operative methods were collected and analyzed. Results There were no statistic differences between two groups in operative time-consuming,postoperative chronic pain in the groin area and seroma （t=1.21,X2=0.10,0.22, P〉0.05）. There was no incision infection in all patients. There was no recurrent case in type Ⅰ , Ⅱ , and Ⅳ in two groups; one recurrent case in type V in Lichtenstein group. In type m and IVinguinal hernia, recurrence rate using UHS was lower than that using Lichtenstein with statistic differences（x2=7.56, 4.97, P〈0.05）. Conclusions Operative time and postoperative complications are similar in two operations. Inguinal hernia recurrence rate is extremely low in typeⅠ , Ⅱ , Ⅴ, ⅥI whether Lichtenstein or UHS. In inguinal hernia of typeⅢand Ⅳ, using UHS is better than using Lichtenstein.