腹腔镜腹股沟疝修补术治疗老年腹股沟疝临床疗效观察.docVIP

腹腔镜腹股沟疝修补术治疗老年腹股沟疝临床疗效观察 　　【摘要】 目的 观察分析腹腔镜腹股沟疝修补术（LIHR）治疗老年腹股沟疝的临床疗效。方法 56例老年腹股沟疝患者， 随机分为对照组和观察组， 各28例。对照组患者采用开放式无张力疝修补术进行治疗， 观察组采用LIHR进行治疗。比较两组患者的治疗效果。结果 对照组患者创口长度、术中失血量、住院时间、术后止痛药使用次数、疼痛得分均明显高于观察组， 差异具有统计学意义（P0.05）；对照组手术时间短于观察组， 差异具有统计学意义（P0.05）。对照组并发症发生率为28.57%， 观察组为7.14%， 比较差异具有统计学意义（P0.05）。结论 采用LIHR治疗老年腹股沟疝具有创口小、术中失血量少、恢复快、并发症发生率低等优势， 值得在临床推广。 　　【关键词】 腹腔镜腹股沟疝修补术；腹股沟疝；临床疗效 　　DOI：10.14163/j.cnki.11-5547/r.2017.36.014 　　Clinical observation of laparoscopic inguinal hernia repair in the treatment of elderly inguinal hernia LIU Fu-yi， WANG Yang-long， BU Zhen， et al. Jiangsu Xinyi Dongfang Hospital， Xinyi 221400， China 　　【Abstract】 Objective To observe and analyze the clinical efficacy of laparoscopic inguinal hernia repair （LIHR） in the treatment of elderly inguinal hernia. Methods A total of 56 elderly patients with inguinal hernia were randomly divided into control group and observation group， with 28 cases in each group. The control group was treated with open tension-free herniorrhaphy， and the observation group was treated with LIHR. The treatment effect in two groups was compared. Results The control group had obviously higher wound length， intraoperative bleeding volume， hospitalization time， numbere of postoperative analgesic drug use and pain score than the observation group， and their difference was statistically significant （P0.05）. The control group had shorter operation time than the observation group， and the difference was statistically significant （P0.05）. The control group had incidence of complications as 28.57%， which was 7.14% in the observation group， and the difference was statistically significant （P0.05）. Conclusion LIHR has advantages of small wound， less intraoperative bleeding volume， fast recovery time and low incidence of complications， and worthy of clinical promotion. 　　【Key words】 Laparoscopic inguinal hernia repair； Inguinal hernia； Clinical efficacy 　　腹股?橡薹⒂谌颂宕笸扔敫贡诮唤绲娜?角区域， 是最为常见的腹外疝[1]。腹股沟疝严重影响患者的生活质量， 手术修补被认为是唯一的根治方法[2]。目前