lichtenstein术与改良Kugel术治疗腹股沟疝的临床效果比较

lichtenstein术与改良Kugel术治疗腹股沟疝的临床效果比
较
陈志山;洪黎清;杨昌毅;傅少龙
【期刊名称】《国际医药卫生导报》
【年(卷),期】2018(024)003
【摘要】Objective To compare the clinical efficacy of lichtenstein surgery and modified Kugel surgery in the treatment of inguinal hernia. Methods According to a randomized controlled study, 150 patients with inguinal hernia from Department of Minimally Invasive Surgery of our hospital from January 2015 to December 2016 were randomly divided into lichtenstein group (group A), modified Kugel group (group B). Observed operation time, average hospital cost, postoperative complications (surgical pain, scrotal hematoma or seroma, surgical infection, recurrence after surgery)
of the two groups. Results The operation time of group A and group B were (29±6)min and (35±9)min, with statistically significant difference
(P<0.05). The average hospitalization costs of group A was significantly less than that of group B. The total complication rate was 10.6％ and 13.3％in group A and B, without statistically significant difference (P>0.05). There was 1 case of hernia recurrence in group A, but no case of hernia recurrence in group B. Conclusions Lichtenstein surgery and modified Kugel surgery in the treatment of inguinal hernia are safe and effective. The operation time and the hospital cost of modified Kugel surgery are
higher than those of lichtenstein surgery, but modified Kugel surgery maybe reduce the recurrence of hernia.%目的比较lichtenstein术和改良Kugel术治疗腹股沟疝的疗效.方法按照随机对照研究方法,前瞻性研究分析本院微创外科2015年1月至2016年12月期间收治的150例腹股沟疝患者,随机分为lichtenstein术组、改良Kugel术组.观察两组的手术时间、平均住院费用、术后并发症(术区疼痛、阴囊血肿或血清肿、术区感染、术后复发)等指标.结果lichtenstein术组、改良Kugel术组患者的手术时间[(29±6)min比(35±9)min]比较差异有统计学意义(P<0.05);lichtenstein术组患者的平均住院费用明显少于改良Kugel术组患者;lichtenstein术组、改良Kugel术组患者术后总并发症发生率(10.6％比13.3％)比较差异无统计学意义(P>0.05),lichtenstein术组术后1例复发,改良Kugel术组无复发.结论 lichtenstein术和改良Kugel术治疗腹股沟疝都是安全有效的,改良Kugel术的手术时间、住院费用高于lichtenstein术,而改良Kugel术有可能减少疝复发.
【总页数】4页(P343-346)
【作者】陈志山;洪黎清;杨昌毅;傅少龙
【作者单位】362300 南安市医院微创外科;362300 南安市医院微创外科;362300 南安市医院微创外科;362300 南安市医院微创外科
【正文语种】中文
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