Sjögren A, Elmér O
Department of Surgery, University of Lund, Sweden.
Ann Chir Gynaecol. 1987;76(6):314-7.
A consecutive series of 584 patients, operated for 635 groin hernias, was clinically evaluated at a median of 6 years after surgery. The cumulative recurrence rate was 16%, established by clinical examination and in uncertain cases with herniography; for primary hernias 14.6% and for recurrent hernias 20.7%. The recurrence rate for indirect hernias was 12.9% and for direct hernias 25%. The direct type of hernia was more frequent among recurrent hernias than among primary hernias (p less than 0.005), indicating that they were overlooked at or caused by the primary operation. The recurrences were noted by the patients themselves in 71% but only 58% had taken the initiative towards another repair. Considering the great number of hernia operations performed and the presented poor long-term results, the need for more research and interest focused on hernia surgery is indicated.
对连续584例接受635例腹股沟疝手术的患者在术后中位时间6年时进行了临床评估。通过临床检查以及在诊断不明确的病例中采用疝造影术确定的累积复发率为16%；原发性疝的复发率为14.6%，复发性疝的复发率为20.7%。间接疝的复发率为12.9%，直接疝的复发率为25%。直接型疝在复发性疝中比在原发性疝中更常见（p<0.005），这表明它们在初次手术时被忽视或由初次手术引起。71%的复发是患者自己发现的，但只有58%的患者主动要求再次修复。鉴于进行的疝手术数量众多且呈现出较差的长期结果，表明需要更多针对疝手术的研究和关注。
