传统腹股沟疝修补术、疝环充填式无张力疝修补术及腹腔镜疝修补术的临床比较  

Comparison of conventional and mesh plug tension-free and laparoscopic inguinal herniorrhaphy

作　　者：朱健[1] 顾钧[1] 

机构地区：[1]上海第二医科大学附属新华医院普外科,200092

出　　处：《临床外科杂志》2005年第2期91-93,共3页Journal of Clinical Surgery

摘　　要：目的　研究比较传统腹股沟疝修补术、疝环充填式无张力疝修补术及腹腔镜疝修补术的临床效果。方法　 1992～ 2 0 0 4年采用传统方法修复腹股沟疝 43 7例 ,2 0 0 0年后另采用无张力疝修补术 15 0例及腹腔镜疝修补术 40例。结果　传统腹股沟疝修补术组的平均手术时间为 ( 65±2 5 )min ,无张力修补组为 ( 4 5± 2 0 )min ,腹腔镜疝修补术组为 ( 5 0± 2 5 )min。术后随访 1～ 4年 ,传统腹股沟疝修补术组为 5 .72 % ;疝环充填式无张力修补组为 2 .92 % ;腹腔镜疝修补术组为 2 .5 %。结论　同传统腹股沟疝修补术比较 ,无张力修补术和腹腔镜疝修补具有手术时间短、痛苦小、复发率低的特点 ,腹腔镜疝修补手术区疼痛更轻 。Objective To compare results following conventional and mesh plug tension-free and laparoscopic inguinal herniorrhaphy.Methods From 1992 to 2004,437 patients were offered conventional herniorrhaphy,150 patients underwent mesh plug tension-free herniorrhaphy and 40 patients were subjected to laparoscopic repair.Results Means operative time was(65±25)min for conventional group,(45±20)min for mesh plug tension-free group and(50±25)min for laparoscopic group.After 1～4 year,the recurrence rate was 5.72% in conventional group,2.92% in mesh plug tension-free group and 2.5% in laparoscopic group.Conclusion Comparion with conventional herniorrhaphy,mesh plug tension-free and laparoscopic inguinal herniorrhaphy is rapid、less painful、low recurrence rate.Laparoscopic herniorrhaphy is most suitable for bilateral and recurrent hernias.

关 键 词：腹股沟疝 无张力 腹腔镜 疝修补术 

分 类 号：R656.2[医药卫生—外科学]