Kovachev L S
Department of General Surgery, Higher Medical Institute, Pleven, Bulgaria.
Surg Today. 1995;25(7):612-8. doi: 10.1007/BF00311435.
A randomized blind sonography estimation analysis of seven different methods of inguinal hernia repair was performed using a commercially available linear scanner with a 5-MHz transducer frequency. A total of 58 male patients with a mean age of 56 years who had been free of recurrence since undergoing a hernia repair were examined 3-12 years after surgery. The analysis was accomplished by three static and four dynamic indices. A five-grade scale was used to assess the operated side while control pattern images of the unoperated operated side, and of a control group of five men who had not undergone surgery, were assessed with four points. The score from the static ultrasound assessment ranked the methods of Lotheissen-McVay and Shouldice first and the methods of Marcy and Postempsky-Halsted I second, while the score from dynamic indices ranked iliopublic tract repair and the methods of Marcy and Shouldice first and the method of Lotheissen-McVay and bilateral preperitoneal prosthetic repair second. The highest aggregate score was demonstrated by the Shouldice method and the lowest by Bassini's method. The results of this study provide additional information which may be clinically useful in the context of the current state of inguinal hernia surgery.
使用一台配备5兆赫换能器频率的商用线性扫描仪，对七种不同腹股沟疝修补方法进行了随机盲法超声评估分析。共有58例平均年龄56岁的男性患者，自接受疝修补术后3至12年未复发，接受了检查。分析通过三个静态指标和四个动态指标完成。使用五级量表评估手术侧，同时对未手术侧的对照模式图像以及五名未接受手术的男性对照组进行四分评估。静态超声评估得分显示，洛特森-麦克维法和肖尔代斯法排名第一，马西法和波斯特姆斯基-霍尔斯特德I法排名第二，而动态指标得分显示，髂耻束修补术以及马西法和肖尔代斯法排名第一，洛特森-麦克维法和双侧腹膜前假体修补法排名第二。肖尔代斯法的总分最高，巴西尼法的总分最低。本研究结果提供了更多信息，在腹股沟疝手术的当前背景下可能具有临床实用性。
