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UHS与Lichtenstein两种术式对不同类型腹股沟疝的疗效比较
引用本文:卫骆云,肖丹宇,方东林,李洪伟,吴娜,施宾宾. UHS与Lichtenstein两种术式对不同类型腹股沟疝的疗效比较[J]. 全科医学临床与教育, 2012, 10(5): 523-525
作者姓名:卫骆云  肖丹宇  方东林  李洪伟  吴娜  施宾宾
作者单位:1. 余杭区中医院外一科,浙江杭州,311106
2. 余杭区第一人民医院普外科
摘    要: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.

关 键 词:腹股沟疝  腹膜前间隙  疝修补术  超普疝修补装置

Comparative study between UHS and Lichtenstein in the treatment of inguinal hernia
Affiliation:WEI Luoyun, XIAO Danyu, FANG Donglin, et al. The first Department of General Surgery, Traditional Chinese Medical Hospital of Yuhang, Hangzhou 311106, China
Abstract: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.
Keywords:inguinal hernia  preperitoneal space  herniorrhaphy  uhrapro hernia system
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