腹膜外腹腔镜疝气修补术与传统疝修补术治疗腹股沟疝的疗效对比.docVIP

精品论文 参考文献 腹膜外腹腔镜疝气修补术与传统疝修补术治疗腹股沟疝的疗效对比 南京医科大学附属无锡市第二人民医院 江苏无锡 214002 　　【摘 要】目的：探讨腹膜外腹腔镜疝气修补术与传统疝修补术治疗腹股沟疝的临床疗效。方法：选取我院2012年7月到2013年7月接受治疗的70例腹股沟疝患者，按照不同的治疗方法，随机分为观察组和对照组，每组患者35例，对照组患者采用传统的疝气修补术治疗，观察组患者采用腹膜外腹腔镜疝气修补术治疗，对比分析两组患者的住院时间和手术后的疼痛持续时间以及手术时间。结果：观察组患者的住院时间和手术中出血量以及手术时间都显著低于对照组患者，Plt;0.05则具备统计学意义。对照组患者的并发症率为22.8%，观察组患者的并发症率为5.71%，观察组患者的手术后并发症发生率显著低于对照组患者，Plt;0.05则具备统计学意义。结论：对于???股沟疝患者使用腹膜外腹腔镜疝气修补术进行治疗，可以显著缩短手术时间和住院治疗时间，降低后期的并发症，疗效显著，具有临床价值意义，可以大力推广。 　　【关键词】腹膜外腹腔镜疝气修补术；腹股沟疝；疗效 　　【中图分类号】R656.2 【文献标识码】B 【文章编号】1674-8999（2015）6-0110-02 　　【Abstract 】Objective: to study the extraperitoneal laparoscopic hernia repair and traditional hernia repair clinical curative effect for the treatment of inguinal hernia. Methods: from July 2012 to July 2012 treated 70 cases of inguinal hernia patients, according to the different treatment methods, were randomly divided into observation group and control group, each group of 35 cases of patients with the control group were treated by traditional hernia repair surgery treatment, the observation group were treated by extraperitoneal laparoscopic hernia repair surgery, comparative analysis of two groups of patients in hospital time and duration of postoperative pain and operation time. Results: observation group of patients in hospital time and intraoperative blood loss and operation time was significantly lower than the control group patients, P lt; 0.05, with statistical significance. Control group patients with complication rate was 22.8%, the observation group of patients with complication rate was 5.71%, the observation group of patients with complications after the operation was significantly lower than the control group patients, P lt; 0.05, with statistical significance. Conclusion: laparoscopic hernia repair for inguinal hernia patients use peritoneal outside surgery treatment, can significantly shorten the operation time and hospitalization time, reduce the complications of late, curative effect is distinct, have cl