腹股沟斜疝腹腔镜下腹横筋膜织网修补术  

Transverse fascia repair with fishing net methods for inguinal hernia under laparoscopic

作　　者：周明德[1] 万德培[1] 陈旭生[1] 牛靖志[1] 赵曦[1] 莫伟锋[1] 陈建良[1] 张子通[1] 钟志辉[1] 

机构地区：[1]广东医学院附属厚街医院腔镜中心,广东东莞523945

出　　处：《中国医师进修杂志（外科版）》2009年第3期19-21,共3页Chinese Journal of Postgraduates of Medicine

摘　　要：目的探讨腹腔镜下腹横筋膜织网修补术治疗I、Ⅱ型腹股沟斜疝的可行性。方法对2004年5月至2008年5月施行腹腔镜下腹横筋膜织网修补术治疗I、Ⅱ型腹股沟斜疝的145例患者（腔镜组）与同期施行开放式无张力疝修补术的143例患者（开放组）的临床资料进行回顾性分析。比较两组在手术操作时间、术后恢复活动时间、住院时间、住院费用以及并发症、复发率等方面有无差异。结果腔镜组在手术操作时间[（14.8±11.5）min]、发现对侧隐匿性斜疝（15例）、术后恢复活动时间[（16.5±14.3）h]、术后镇痛药使用（5例）、术后阴囊水肿（1例）、住院时间[（4.2±1.5）d]方面均明显优于开放组[分别为（37.6±25.4）min、0例、（52.7±12.6）h、13例、14例、（8.4±2.6）d]；术后复发率两组比较差异无统计学意义。结论腹腔镜下腹横筋膜织网修补术治疗I、Ⅱ型腹股沟斜疝具有可行性。Objective To explore the feasibility of fishing net repairing transverse fascia method for inguinal hernia （type Ⅰ,Ⅱ） using laparoscopic surgical procedure. Methods A retrospective analysis of clinical data between the method of fishing net repairing transverse fascia surgery for 145 cases of inguinal hernia （type I ,Ⅱ） using laparoscopic surgical procedure from May 2004 to May 2008 （laparoscopic group） and the method of open repairing surgery 143 cases （open group） at the same period were conducted. The differences in the operative time, rehabilitation activities time, length of stay, cost of hospitalization and complications, recurrence rate were compared. Results The laparoscopic group was significantly better in the operative time [（14.8±11.5）min], found hiding oblique hernia （15 cases）, rehabilitation activities time [（16.5±14.3）h], use of analgesics （5 cases）, serotal edema （1 case）, length of stay [（4.2±1.5）d], than those of the open group [（37.6±25.4） min, 0, （52.7±12.6） h, 13, 14,（8.4±2.6） d respectively] ; but the recurrence rate was no significantly different. Conclusion Method of fishing net repairing transverse fascia for inguinal hernia （type I ,Ⅱ） using laparoscopic surgical procedure is feasible.

关 键 词：腹腔镜 疝 腹股沟 腹横筋膜 织网修补法 

分 类 号：R656.21[医药卫生—外科学] R656.210.5[医药卫生—临床医学]