前入路腹股沟疝腹膜外修补术45例临床的研究.docVIP

前入路腹股沟疝腹膜外修补术45例临床的研究 　　【摘 要】 目的：观察前入路腹股沟疝腹膜外修补术的临床治疗效果。方法：选取腹股沟疝患者135例，将所有患者随机分为A、B、C三组，每组各45例。A组采取传统腹股沟疝修补术；B组采取腹腔镜下腹股沟疝腹膜外修补术；C组采取前入路腹股沟疝腹膜外修补术进行治疗。对比观察三组患者的治疗总有效率、手术各项指征以及并发症发生率情况。结果：C组患者的术中出血量、手术时间以及住院时间均显著优于A组和B组，差异具有统计学意义（P005）。C组术后并发症发生率为444%（2/45），显著低于A组的2000%（9/45）和B组的1333%（6/45），差异具有统计学意义（P005）。结论：对于腹股沟疝患者采取前入路腹股沟疝腹膜外修补术能够显著提高临床疗效，降低术后并发症，减少手术费用，值得临床推广。 　　【关键词】 腹股沟疝；腹膜外修补术；前入路 　　【中图分类号】R6562+1 【文献标志码】 A 【文章编号】1007-8517（2015）05-0052-02 　　Extraperitoneal hernia repair clcnical Studies 45 cases of anterior groin 　　HE Yong-tang 　　Shenwan Hospital of Zhongshan city，Zhong shan 5284620，China 　　Abstract：Objective To analyze the clinical treatment effects of anterior approach inguinal hernia extraperitoneal prosthesis. Method Chosen 135 patients suffering from inguinal hernia， and they were divided into three groups， with 45 patients in each group. Patients in group A were treated by traditional inguinal hernia repair， patients in group B were treated by inguinal hernia extraperitoneal prosthesis under the laparoscope while the patients in group C were treated by anterior approach inguinal hernia extraperitoneal prosthesis. The whole effective rate， the different operation indications and the occurrence rate of complications of three groups of patients were compared. ResultThe bleeding volume， time of operation and time in hospital of patients in group C were evidently better than group A and B and the differences had statistical significance （P005）. In addition， the occurrence rate of complications in group C was 444%， which was evidently lower than 2000% in group A and 13.33% in group B and the differences had statistical significance （P005）. ConclusionThe effect of anterior approach inguinal hernia extraperitoneal prosthesis is good， which can decrease the complications after operations and decrease the operation cost. Thus， it should be widely promoted in clinical applications. 　　Keywords：Inguinal hernia；Peritioneal repair；Into the road 　　腹股沟疝是由于腹腔内器