摘要
目的探讨Kugel疝修补术的技术改进与临床意义。方法回顾性分析2010年4月至2013年4月,浙江省台州市立医院收治的268例使用Kugel疝修补术的单侧腹股沟疝患者的临床资料。手术由同一组医师完成。根据手术方法随机分二组:A组112例,行经典Kugel疝修补术。B组156例,行技术改进后的Kugel疝修补术。观察二组病例的手术时间、术后并发血肿、慢性疼痛、复发情况。结果手术时间A组(43±13)min,B组(40±10)min,差异有统计学意义(t=2.13,P=0.034);术后并发血肿A组8例(7.1%),B组2例(1.2%),差异有统计学意义(χ2=6.24,P=0.012);慢性疼痛A组4例(3.5%),B组2例(1.2%),差异无统计学意义(χ2=1.55,P=0.211);复发A组5例(4.4%),B组1例(0.6%),差异有统计学意义(χ2=4.35,P=0.036)。结论技术改进可降低Kugel疝修补术的手术难度,缩短手术时间,并可降低手术并发症的发生率,利于该术式的推广应用。
Objective The purpose of this retrospective study is to evaluate the clinical effects of technological improvement in kugel repair of inguinal hernias.Methods Patients with inguinal hernias who were treated using the traditional kugel approach （group A,n：1 1 2）and using the modified technique which was called pressing shoulder to show the neck of the hernia（group B,n：1 56）in Taizhou Municipal Hospital from April 201 0 to April 201 3 were evaluated retrospectively.Operation time,incisional hematoma,chronic groin pain and recurrence were compared between two groups.Results The operation time was （43 ± 1 3）minutes in group A and （40 ±1 0）minutes in group B （t=2.1 3,P=0.034）.There was no significant difference in the incidence of postoperative chronic groin pain （χ2 =1 .55,P=0.21 1 ）,but the rate of incisional hematoma in group B were significantly lower than that in group A （χ2 =6.24,P=0.01 2）.The rate of recurrence differed significantly between the two groups with 5 in group A（4.4 %）and one in group B （0.6%）（χ2 =4.35,P=0.036）.Conclusion The shorter operation time,lower rate of postoperative complications and much lower recurrence show the superiority of the modified Kugel repair in comparison with the traditional approach in inguinal herniorrhaphy.
出处
《中华疝和腹壁外科杂志（电子版）》
2014年第3期63-65,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
疝修补术
Hernia,inguinal
Herniorrhaphy
