正确测量成年男性腹股沟后壁裁剪合适的补片修复腹股沟疝

发布时间：2018-12-18 18:41

【摘要】：背景:目前国内行疝补片手术,一般根据经验裁剪补片大小,缺乏可靠的依据。目的:通过Rutkow术中测量中国籍成年男性人群腹股沟后壁大小,根据测量结果进行补片裁剪,对治疗效果进行评价。方法:精细测量180例行无张力疝修补术的中国籍成年男性患者的腹股沟后壁大小,计算出适合中国成年男性腹股沟组织解剖结构的补片尺寸数据,并将180例患者随机分为2组,每组90例,试验组测量腹股沟后壁大小后进行补片裁剪的Rutkow术,对照组根据经验进行补片裁剪的Rutkow术,比较两组患者各项临床指标以及并发症发生率和复发率。结果与结论:1耻骨结节与腹内斜肌在腹股沟韧带起点之间距离为(6.03±0.58)cm;弓状下缘的最高点至腹股沟韧带的垂直距离为(3.02±0.32)cm,相应补片尺寸长度应当大于(13.04±0.74)cm,宽度应当大于(5.88±0.52)cm;2试验组下床活动时间、进食时间、住院时间均小于对照组(P0.05);两组手术时间、恢复正常活动时间比较,差异无显著性意义(P0.05);3试验组术后并发症发生率及复发率明显低于对照组(P0.01);4结果表明,测量腹股沟后壁大小后进行补片裁剪的Rutkow术用于腹股沟疝修补,效果明显,并发症和复发率低。
[Abstract]:Background: at present, domestic herniation patch surgery, generally based on experience to cut the size of the patch, lack of reliable basis. Objective: to measure the posterior wall size of inguinal groin in Chinese adult male population by Rutkow, and to evaluate the therapeutic effect. Methods: the size of inguinal posterior wall of 180 Chinese adult male patients undergoing tension-free hernioplasty was measured, and the size data of the patch suitable for the anatomical structure of inguinal tissue in Chinese adult males were calculated. 180 patients were randomly divided into two groups. 90 patients in each group were treated with Rutkow after the size of the posterior wall of groin were measured, and the patients in the control group were treated with Rutkow according to their experience. The clinical indexes, the incidence of complications and the recurrence rate were compared between the two groups. Results and conclusion: 1 the distance between pubic tubercle and internal oblique muscle at the beginning of inguinal ligament is (6.03 卤0.58) cm;. The vertical distance between the highest point of the arch lower edge and the inguinal ligament is (3.02 卤0.32) cm,. The corresponding patch size length should be greater than (13.04 卤0.74) cm, width should be greater than (5.88 卤0.52) cm;. (2) the time of getting out of bed, eating time and hospitalization time in the test group were all smaller than those in the control group (P0.05), the operation time and the time of returning to normal activity were not significantly different between the two groups (P0.05). (3) the incidence and recurrence rate of postoperative complications in the trial group were significantly lower than those in the control group (P0.01). 4 the results showed that the effect of Rutkow after the measurement of the size of the posterior wall of the groin for inguinal hernia repair was obvious, and the complication and recurrence rate was low.
【作者单位】：武汉大学人民医院普外科;
【基金】：国家自然科学基金(81370562)~~
【分类号】：R656.21;R318.08

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