腹腔镜疝修补术，无张力疝修补术与传统疝修补术的疗效比较.docVIP

精品论文 参考文献 腹腔镜疝修补术，无张力疝修补术与传统疝修补术的疗效比较 云南省昭通市中医医院 657000 摘要：目的：分析比较腹腔镜疝修补术，无张力疝修补术与传统疝修补术的临床疗效。方法：回顾分析2013年10月至2015年10月期间，在我院行疝修补术的99例患者临床资料，依据不同的手术方法，将其分为腹腔镜组、无张力组、传统组3组，每组33例患者。腹腔镜组采用腹腔镜疝修补术，无张力组采用无张力疝修补术，传统组患者采用传统疝修补术，对比3组患者临床治疗疗效。结果：传统组患者手术时间、下床活动时间、住院时间均长于腹腔镜组和无张力组，差异具有统计学意义（P＜0.05）；传统组患者术后应用止痛药次数明显多于腹腔镜组和无张力组，差异具有统计学意义（P＜0.05）；随访2年，传统组患者复发率均明显高于腹腔镜组和无张力组，差异具有统计学意义（P＜0.05）。结论：无张力疝修补术和腹腔镜疝修补术手术时间短，患者痛苦小，并且临床复发率低，可以作为临床治疗腹股沟疝的首选方法。而腹腔镜临床住院费用最高，推广依然受到限制。 关键词：腹腔镜；疝修补术；临床疗效 Abstract：objective：to compare laparoscopic hernia repair，without tension hernia repair and clinical curative effect of traditional hernia repair.Methods：retrospective analysis during October 2015 to October 2014，in 99 cases with hernia repair of clinical data，according to the different operation methods，it can be divided into laparoscopic group，no tension，traditional 3 groups，each group of 33 cases of patients.Laparoscopic were treated by laparoscopic hernia repair，without the tension group without tension hernia repair and traditional group were treated by traditional hernia repair，compare the clinical curative effect of three groups of patients.Results：the traditional group of patients with operation time，ambulation time，hospitalization time were longer than the laparoscopic group and no tension，statistically significant difference（P lt; 0.05）；Traditional group of patients with postoperative pain significantly more than the laparoscopic group and no tension，statistically significant difference（P lt; 0.05）；Recurrence patients were followed up for 2 years，the traditional group were significantly higher than that of the laparoscopic group and no tension，statistically significant difference（P lt; 0.05）.Conclusion：laparoscopic hernia repair without tension hernia repair and shorter operation time，pain in patients with small，clinical recurrence rate is low，and clinical data can be used as the preferred method of inguinal hernia.And the highest cost of laparoscopic clinical hospital，promotion is stil