目的探讨腹股沟疝修补术治疗分别应用前入路PHS术式及后入路Kugel补片的临床效果。方法选择2006年6月~2012年6月本科室145例腹股沟疝患者,根据术式分为对照组(94例)和观察组(51例),对照组患者实施前入路PHS疝修补,观察组患者实施后入路Kugel补片疝修补,术后对比两组患者的疼痛、复发等指标。结果观察组术后24 h VAS评分为(1.83±0.81)分,随访慢性疼痛发生率为1.96%(1/51),均低于对照组的(3.26±1.47)分、7.45%(7/94),差异有统计学意义(t=5.452,P=0.009;χ2=7.276,P=0.003)。观察组阴囊肿胀发生率、局部异物感发生率低于对照组,差异有统计学意义(P0.05);两组手术时间、住院时间、恢复正常活动时间、感染率、复发率比较,差异无统计学意义(P0.05)。结论 Kugel补片后入路术式创伤小,恢复快,安全性高,不易复发,临床可选择此术式。
Objective To investigate the clinical effect of anterior PHS operation and posterior Kugel patch for inguinal hernia repair. Methods 145 cases of patients with inguinal hernia from June 2006 to June 2012 were selected,and were divided into control group (94 cases) and observation group (51 cases) according to surgical methods,control group were implemented with PHS hernia repair,observation group were implemented with Kugel mesh hernia repair,postoperative pain,relapse and other indicators were compared between two groups. Results VAS score of observation group after 24 h was 1.83±0.81,follow-up of chronic pain incidence was 1.96% (1/51),lower than 3.26±1.47 and 7.45% (7/94) of the control group,the difference was significant (t=5.452,P=0.009;χ2=7.276,P=0.003).The incidence of scrotal swelling and local foreign body sensation in observation group was lower than that of the control group,the difference was significant (P 0.05). Conclusion Kugel posterior inguinal approach h