改良Kugel修补术与Lichtenstein修补术治疗腹股沟疝的临床研究

目的探讨改良腹膜前Kugel修补术与Lichtenstein无张力疝修补术治疗腹股沟疝的临床效果。 方法选取2015年6月至2018年3月，海南省琼中县阳江医院收治的70例腹股沟疝患者的临床资料。按随机数法将其分为对照组和观察组，每组35例。对照组采用Lichtenstein修补术进行治疗，观察组采用改良Kugel修补术进行治疗。比较2组围手术期相关指标情况，对比2组术后1、3 d及1、6个月的疼痛视觉模拟评分（VAS）；统计2组术后并发症发生率以及随访复发率。 结果观察组手术时间、术中出血量、术后首次下床时间及术后住院时间与对照组比较，差异均有统计学意义（P<0.05）。术后1、3 d以及术后1个月，观察组VAS评分与对照组比较，差异均无统计意义（P>0.05）；术后6个月，观察组VAS评分低于对照组，差异有统计学意义（P<0.05）。观察组术后并发症总发生率8.57%低于对照组28.57%，差异有统计学意义（P<0.05）。观察组无复发患者，对照组复发情况2例（5.71%），差异无统计学意义（P>0.05）。 结论改良Kugel修补术治疗腹股沟疝患者，能够明显改善患者手术相关指标，并能缓解患者疼痛，降低其并发症发生率以及复发率。

Analysis of modified Kugel repair and Lichtenstein repair for inguinal hernia

ObjectiveTo investigate the clinical effect of modified pre-peritoneal (Kugel) repair and Lichtenstein repair in the treatment of inguinal hernia. MethodsA total of 70 patients with inguinal hernia admitted to Yangjiang hospital between June 2015 and March 2018 were selected. They were divided into the control group and the observation group by random number method, with 35 cases in each group. The control group was treated with Lichtenstein repair, and the observation group was treated with modified Kugel repair. The relevant indicators of the two groups during the perioperative period were compared; the score of visual analogue scale (VAS) in the two groups at 1, 3 days, 1, 6 months after operation were compared; the incidence of postoperative complications and the rate of recurrence in follow-up period between the two groups were counted. ResultsThe operation time, the first time to leave bed, and the postoperative hospital stay were obviously shorter in the observation group than those in the control group. The intraoperative blood loss was obviously lower than that in the control group (P<0.05). At 6 months after operation, the score of VAS in the observation group was obviously lower than that in the control group (P<0.05). The total incidence of postoperative complications in the observation group was 8.57%, which was obviously lower than that of the control group 28.57% (P<0.05). The recurrence rate in the observation group was 0, which was lower than that in the control group was 5.71%, but the difference was not statistically significant (P>0.05). ConclusionModified Kugel repair in patients with inguinal hernia can significantly improve the relevant indicators, relieve pain symptom, and reduce the incidence of complications and recurrence rate.