无张力疝修补术与腹腔镜疝修补术治疗成人腹股沟疝的临床应用效果观察.docVIP

精品论文 参考文献 无张力疝修补术与腹腔镜疝修补术治疗成人腹股沟疝的临床应用效果观察 哈尔滨市第二医院 黑龙江哈尔滨 150056 【摘 要】目的：评价腹腔镜与开放式无张力疝修补术治疗成人复发性腹股沟疝的临床疗效。方法：将84例成人腹股沟疝患者采用随机数字表法分为对照组及实验组，每组42例。对照组采用开放式无张力疝修补术进行治疗，实验组采用腹腔镜疝修补术进行治疗，对比分析2组患者的手术时间、术中出血量、术后进食时间、术后下床活动时间、术后住院时间、住院费用及术后并发症的发生情况。结果：与对照组相比，实验组的术后进食时间和术后下床时间早，住院时间短，住院费用高，差异均有统计学意义（P＜0．05）；但两组患者术中出血量比较差异无统计学意义（P＞0.05）。结论：与开放无张力手术相比，腹腔镜手术不可以降低术后再复发率但可以降低术后慢性疼痛与切口感染发生率；可以缩短术后住院时间，但手术时间较长。 【关键词】无张力疝修补术；腹腔镜疝修补术；腹股沟疝 Abstract：Objective：To evaluate the macroscopic and open hernia repair clinical efficacy of the treatment of adult patients with recurrent inguinal hernia.Methods：84 adult patients with inguinal hernia were randomly divided into control and experimental groups in 42 cases.The control group was open tension-free hernia repair for treatment，the experimental group of macroscopic hernia repair treatment，comparative analysis of the two groups of patients with operative time，blood loss，postoperative eating time and postoperative ambulation time，postoperative hospital stay，hospital costs and postoperative complications were observed.Results：Compared with the control group，the experimental group after eating time and postoperative bed earlier，shorter hospital stay，higher hospital costs，differences were statistically significant（Plt;0.05）；two groups of patients，but surgery the amount of bleeding difference was not statistically significant（Pgt; 0.05）.Conclusion：Compared with the open tension-free surgery，macroscopic surgery can not reduce postoperative recurrence rate but can reduce postoperative pain and chronic wound infection rate；shortened the hospital stay，but longer operation time. Keywords：tension-free hernia repair；macroscopic hernia repair；inguinal hernia 全世界每年大约有2000万例腹股沟疝患者，保守估计中国每年大约有200万例腹股沟疝患者。腹股沟疝主要是指患者因腹股沟缺损造成腹腔内脏器向体表突出所形成的疝，腹股沟疝分为腹股沟斜疝与腹股沟直疝两种。腹股沟疝的治疗手段主要是手术治疗。据文献报告，腹股沟疝手术中约有10%-15%为复发疝的再修补。本院比较分析腹腔镜疝修补术与开放式无张力疝修补术治疗成人腹股沟疝的临床疗效，现报告如下。 1.资料和方法 1.1一般资料 随机选取2014年9月-2015年9月本院就诊的成人腹股沟疝患者84例作为研究对象，采用随机数字表法将患者