腹腔镜腹股沟疝修补术临床安全性和有效性评价研究  

Evaluation of clinical safety and efficiency of laparoscopic inguinal hernia repair

作　　者：张辉[1] 李健文[1] 郑民华[1] 李华青[1] 解轶生[1] 王磊[1] 王明亮[1] 陆爱国[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院普外科,上海市微创外科临床医学中心,上海市200025

出　　处：《中华实用诊断与治疗杂志》2009年第1期35-37,共3页Journal of Chinese Practical Diagnosis and Therapy

摘　　要：目的:对腹腔镜腹股沟疝修补术治疗成人腹股沟疝进行临床安全性和有效性评价。方法:对传统腹股沟疝修补术108例(CHR组)、开放式无张力腹股沟疝修补术113例(OMR组)、腹腔镜腹股沟疝修补术319例(LIHR组)进行同期非随机对照研究。结果:CHR,OMR和LIHR3组复发率分别为6.48%(7/108),0.88%(1/113)和0.31%(1/319),差异有统计学意义(P<0.01),其中CHR组复发率明显高于OMR组和LIHR组,LIHR组和OMR组复发率差异无统计学意义(P>0.05)。3组间总并发症发生率分别为10.74%,9.84%和9.73%,差异无统计学意义(P>0.05)。手术时间3组间差异无统计学意义(单侧P>0.05,双侧P>0.05)。术后第2d疼痛分数、术后住院时间和恢复正常活动时间3组间差异有统计学意义,LIHR组优于CHR组和OMR组。结论:LIHR作为众多无张力疝修补术其中的一种方法,是一种安全、有效的治疗成人腹股沟疝的手术方式。Objective To evaluate the clinical safety and efficiency of laparoscopic inguinal hernia repair for adult inguinal hernia. Methods A non-randomized concurrent control study was carried out including 108 conventional hernia repair, 113 open mesh repair and 319 laparoscopic inguinal hernia repair. Results Recurrence rates of 3 groups were 6.48%, 0.88% and 0.31% respectively （P〈0.01）. Recurrence rate of conventional hernia repair （6.48%） was higher than open mesh repair （0.88%） and laparoscopic inguinal hernia repair （0.31 %）（P〈0.01） while there was no significant difference between the groups of open mesh repair and laparoscopic inguinal hernia repair （P〉 0. 05）. The incidence rates of complications for 3 groups were 10. 74%, 9. 84% and 9. 73% respectively （P〉 0.05）. The operating time of 3 groups was similar （P〉0. 05）. The visual analogue pain scores, postoperative hospitalization and time to regain normal activity were significantly less in laparoscopic inguinal hernia repair than the other 2 groups. Conclusion As one of the tension-free herniorrhaphy procedures, laparoscopic inguinal hernia repair is a safe and effective technique for adult inguinal hernia.

关 键 词：腹股沟疝 腹腔镜 无张力疝修补术 

分 类 号：R656.21[医药卫生—外科学]