中国现代手术学杂志  2017, Vol. 21 Issue (3): 191-193 |
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| 腹股沟疝治疗中改良Kugel修补术与Lichtenstein修补术的选择 |
| 陈佳栋|孙颢|高友福|米娜瓦尔·亚合普 |
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摘要 目的 探讨腹股沟疝手术中改良Kugel修补术与Lichtenstein修补术的临床选择。方法回顾性分析2014年2月~2015年8月149例腹股沟疝患者临床资料,其中Ⅰ型2例,Ⅱ型12例,Ⅲ型119例,Ⅳ型16例;直疝50例,斜疝99例;均采用改良Kugel修补术(改良Kugel组)。以同期行Lichtenstein修补术治疗的171例腹股沟疝患者(Lichtenstein组)作为对照,其中Ⅰ型4例,Ⅱ型13例,Ⅲ型141例,Ⅳ型13例;直疝60例,斜疝111例。结果 两组患者均顺利完成手术。改良Kugel组手术时间较Lichtenstein组短,差异有统计学意义(P<0.05);而两组术后补片感染率、阴囊水肿率比较均无统计学差异(P>0.05)。所有患者均获随访,随访时间平均13.5(6~24)个月。改良Kugel组与Lichtenstein组腹肌沟疝复发率分别为0.67%和4.68%,均为Ⅲ、Ⅳ型患者,组间比较差异有统计学意义(P<0.05)。结论 对于Ⅰ、Ⅱ型腹股沟疝患者,改良Kugel修补术与Lichtenstein修补术均可达到满意的疗效,而对于Ⅲ、Ⅳ型患者则更宜选择改良Kugel修补术。
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| 关键词:
疝
腹股沟
疝修补术
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出版日期: 2017-06-30
发布日期: 2017-10-30
期的出版日期: 2017-06-30
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