目的 对比疝环填充法和平片式修补法治疗腹股沟疝的临床效果和并发症情况。方法 将2015年1月至2019年1月江门市中心医院江海分院收治的120例成人腹股沟斜疝患者作为研究对象,其中60例患者采用平片式无张力疝修补术治疗作为实验组,另外60例患者采用疝环填充式修补术治疗作为对照组,观察记录两者患者的手术时间、住院时间、并发症情况;并随访 12个月,观察记录两组患者的复发情况。结果 对照组患者的手术显著时间长于实验组(45.5±4.10 VS 35.5±3.50, P<0.05);住院费用显著高于实验组( P<0.01)。实验组术后神经痛的发生率为1.67%,显著低于对照组( P<0.01)。对照组患者治愈58例,复发2例,总有效率为 96.67%(58/60);实验组治愈59 例,复发1例,总有效率98.33%(59/60),两组间总有效率比较,差异无统计学意义( P>0.05),复发率差异无统计学意义。结论 疝环填充法和平片修补法总的治疗效果相近,但平片法更为简单易行,术后并发神经疼痛发生率更低,值得在基层医院推广。

Objective: To compare the clinical effect and complications of Lichtenstein repair versus mesh plug repair in the treatment of inguinal hernia.Methods: 120 adult patients with indirect inguinal hernia admitted to Jianghai branch of Jiangmen Central Hospital from January 2015 to January 2019 were selected as the research objects, 60 cases were treated by Lichtenstein repair as experimental group, and the other 60 cases were treated by mesh plug repair as control group.The operation time, length of hospital stay, and complications were compared. The recurrence was recorded with 12 months follow up.Results: The operation time of mesh plug group was significantly longer(45.5±4.10 VS 35.5±3.50, P<0.05) and the cost was lower in Lichtenstein group.The incidence of postoperative neuralgia in the Lichtenstein group was statistically significant ( P<0.01).In mesh plug group, 58 cases were cured, 2 cases recurrence, and the total effective rate was 96.67% (58/60); in the Lichtenstein group, 59 cases were cured, 1 case had recurrence, and the total effective rate was 98.33% (59/60).There was no significant difference in the total effective rate between the two groups ( P>0.05) . Conclusion: The therapeutic effect of the two methods is similar, but the Lichtenstein method is much more simple to operate, and the postoperative nerve pain is lower, which is worthy promoting.