腹腔镜全腹膜外修补术治疗腹股沟疝疗效观察 徐昌勇.docVIP

精品论文 参考文献 腹腔镜全腹膜外修补术治疗腹股沟疝疗效观察 徐昌勇 （1重庆市璧山区中医院 402760;2重庆市璧山区人民医院 402760） 【摘要】目的：分析研究腹腔镜全腹膜外修补术治疗腹股沟疝的临床疗效。方法：选取2014年10月-2016年5月在我区中医院、人民医院治疗的腹股沟疝患者100例，随机分成对照组和试验组两组，各50例，对照组仅进行传统症修补术，试验组进行腹腔镜全腹膜外疝修补术疗法，分析比较两组的各项临床手术指标及术后并发症情况。结果：试验组的手术时间、下床活动时间及住院时间均较对照组显著缩短，且其术中出血量也明显少于对照组，各项手术指标对比差异具有统计学意义(P＜0.05)，且试验组术后仅出现1例局部血肿、1例尿潴留、1例其他并发症，未出现肺部和创口感染，其并发症发生率（6.0％）远低于对照组（20.0％），差异具有统计学意义（chi;2=8.444，P=0.008）。结论：对于腹股沟疝症，采用腹腔镜全腹膜外修补术可较好地控制各项临床指标，临床效果显著，术后并发症较少，值得临床推广应用。 【关键词】腹腔镜全腹膜外修补术；腹股沟疝；临床疗效；并发症 【中图分类号】R628 【文献标识码】A 【文章编号】1007-8231（2016）23-0023-03 The Observation of the effect of laparoscopic total peritoneal repair in the treatment of inguinal hernia 【Abstract】Objective To analyze the clinical efficacy of laparoscopic total extraperitoneal repair of inguinal hernia. Methods From October 2014 to May 2016 in our hospital treatment of inguinal hernia in 100 cases, were randomly divided into control group and test group 2 groups, each of 50 cases, the control group only with traditional hernia repair, laparoscopic total peritoneal experimental group hernia repair treatment, compared the clinical indicators and surgical operation in 2 groups of complication. Results The operation time of the experimental group, ambulation time and hospitalization time significantly shorter than the control group, and the amount of intraoperative bleeding was significantly less than the control group, the operation indexes The difference was statistically significant (Plt;0.05), and the test group after only 1 cases of local hematoma, 1 cases of urinary retention, 1 cases of lung and other complications, without wound infection, the incidence rate of complications (6%) is far lower than that of the control group (20%), the differences were statistically significant (chi;2=2 8.444,P=0.008). Conclusion For inguinal hernia patients with laparoscopic total extraperitoneal herniorrhaphy can better control the clinical indic