腹腔镜疝修补术治疗腹股沟疝的临床效果(1)
[摘要]目的 探讨腹腔镜疝修补术治疗腹股沟疝(IH)的临床效果。方法 选取2015年10月～2018年10月我院收治的60例IH行腹腔镜疝修补术患者作为研究对象，依据入院顺序分为A、B组，每组各30例。A组采取开放式无张力疝修补术治疗，B组则采取腹腔镜疝修补术治疗。对两组的手术时间、术中出血量、住院时间、疼痛持续时间、下床时间与并发症总发生率进行比较。结果 B组术中出血量为(9.8±1.1)ml，住院时间为(3.3±1.2)d，痛感持续时间为(1.1±0.2)h，下床活动时间为(16.6±2.1)h，分别少于A组(24.5±2.2)ml，均短于A组的(9.6±1.3)d、(14.8±1.2)h、(27.9±1.4)h，差异有统计学意义(P<0.05);B组的手术时间为(38.5±11.7)min，并发症总发生率为6.7%，分别与A组的(38.2±14.5)min、10.0%比较，差异无统计学意义(P>0.05)。结论 腹腔镜疝修补术与开放式无张力疝修补术比较，腹腔镜疝修补术治疗的创伤更小，更利于患者康复，缩短住院时间，并减少术后并发症的发生，应用价值更高。
[关键词]腹腔镜疝修补术;开放式无张力疝修补术;腹股沟疝;临床效果
[中图分类号] R656.21 [文献标识码] A [文章编号] 1674-4721(2019)8(c)-0083-03
[Abstract] Objective To investigate the clinical effect of laparoscopic hernioplasty in the treatment of inguinal hernia(IH). Methods A total of 60 patients with IH undergoing laparoscopic hernioplasty were selected as subjects of from October 2015 to October 2018. According to the order of admission， the patients were divided into group A and group B， 30 cases in each group. Group A was treated with open tension-free hernioplasty and group B was treated with laparoscopic hernioplasty. The operation time， intraoperative bleeding volume， hospital stay， pain duration， time out of bed and the total incidence of complications between the two groups were compared. Results The intraoperative bleeding volume， hospitalization time， pain duration and ambulation time of group B were (9.8±1.1) ml， (3.3±1.2) d， (1.1±0.2)h and (16.6±2.1) h， respectively， less than that of group A for (24.5 ±2.2) ml， shorter than those for (9.6 ±1.3) d， (14.8±1.2) h and (27.9±1.4) h， with significant differences (P<0.05). The operation time of group B and group A were (38.5±11.7) min and (38.2±14.5) min respectively， the total incidence of complications was 6.7% and 10.0% respectively， there were no significant differences between the two groups (P>0.05). Conclusion Compared the effect of laparoscopic hernioplasty and open tension-free hernioplasty， laparoscopic hernioplasty has less trauma， is more conducive to the recovery of patients， it can shorten hospital stay， reduce the occurrence of postoperative complications， with higher application value.
[Key words] Laparoscopic hernia repair; Open tension free herniorrhaphy; Inguinal hernia; Clinical effect
腹股沟疝(IH)是一种较为常见的疾病类型，对成年IH患者而言，临床无自愈可能，而且也可能造成胃肠道绞窄、梗阻等不良后果，对患者身体健康造成较大伤害。临床治疗该疾病主要可分为保守疗法及手术疗法，手术疗法最为常用。以往开放式无张力疝修补术是治疗成人IH的金标准[1-2]。近年来随着临床医疗水平的进步，腹腔镜技术的应用范围愈加广泛，其在IH治疗中的應用也越来越多，并且获得了显著的临床效果，与传统开放式手术相比，具有创伤小、出血量少，易恢复等特点。为探讨比较IH患者采取开放式无张力疝修补术及腹腔镜疝修补术治疗的效果，本研究纳入60例IH患者为研究对象，分别接受开放式无张力疝修补术、腹腔镜疝修补术治疗，现报道如下。, 百拇医药(马伯恒 沙德胜 袁小兵)
[关键词]腹腔镜疝修补术;开放式无张力疝修补术;腹股沟疝;临床效果
[中图分类号] R656.21 [文献标识码] A [文章编号] 1674-4721(2019)8(c)-0083-03
[Abstract] Objective To investigate the clinical effect of laparoscopic hernioplasty in the treatment of inguinal hernia(IH). Methods A total of 60 patients with IH undergoing laparoscopic hernioplasty were selected as subjects of from October 2015 to October 2018. According to the order of admission， the patients were divided into group A and group B， 30 cases in each group. Group A was treated with open tension-free hernioplasty and group B was treated with laparoscopic hernioplasty. The operation time， intraoperative bleeding volume， hospital stay， pain duration， time out of bed and the total incidence of complications between the two groups were compared. Results The intraoperative bleeding volume， hospitalization time， pain duration and ambulation time of group B were (9.8±1.1) ml， (3.3±1.2) d， (1.1±0.2)h and (16.6±2.1) h， respectively， less than that of group A for (24.5 ±2.2) ml， shorter than those for (9.6 ±1.3) d， (14.8±1.2) h and (27.9±1.4) h， with significant differences (P<0.05). The operation time of group B and group A were (38.5±11.7) min and (38.2±14.5) min respectively， the total incidence of complications was 6.7% and 10.0% respectively， there were no significant differences between the two groups (P>0.05). Conclusion Compared the effect of laparoscopic hernioplasty and open tension-free hernioplasty， laparoscopic hernioplasty has less trauma， is more conducive to the recovery of patients， it can shorten hospital stay， reduce the occurrence of postoperative complications， with higher application value.
[Key words] Laparoscopic hernia repair; Open tension free herniorrhaphy; Inguinal hernia; Clinical effect
腹股沟疝(IH)是一种较为常见的疾病类型，对成年IH患者而言，临床无自愈可能，而且也可能造成胃肠道绞窄、梗阻等不良后果，对患者身体健康造成较大伤害。临床治疗该疾病主要可分为保守疗法及手术疗法，手术疗法最为常用。以往开放式无张力疝修补术是治疗成人IH的金标准[1-2]。近年来随着临床医疗水平的进步，腹腔镜技术的应用范围愈加广泛，其在IH治疗中的應用也越来越多，并且获得了显著的临床效果，与传统开放式手术相比，具有创伤小、出血量少，易恢复等特点。为探讨比较IH患者采取开放式无张力疝修补术及腹腔镜疝修补术治疗的效果，本研究纳入60例IH患者为研究对象，分别接受开放式无张力疝修补术、腹腔镜疝修补术治疗，现报道如下。, 百拇医药(马伯恒 沙德胜 袁小兵)