开放性全腹膜外疝修补术105例疗效分析  

The clinical analysis of 105 cases of total extraperitoneal repair

作　　者：彭真艳[1] 

机构地区：[1]湖北省麻城市人民医院普外科,湖北麻城438300

出　　处：《中国现代医学杂志》2011年第36期4584-4585,4588,共3页China Journal of Modern Medicine

摘　　要：目的探讨使用补片全腹膜外腹股沟疝修补术的疗效。方法 105例腹股沟疝患者随机分为治疗组和对照组。治疗组52例采用经腹膜前间隙疝修补术,对照组53例采用Lichtenstein无张力疝修补术。对比两组的手术时间、住院天数、并发症发生率及复发率。结果两组的手术时间、复发率比较无统计学意义(P>0.05),但住院天数、总并发症发生率比较差异有统计学意义(P<0.05)。结论腹股沟疝经腹膜前间隙无张力修补术是一项较理想的的疝修补术,能减少住院天数和并发症。[ Objective ] To evaluate the effect of open extraperitoneal hernioplasty in inguinal hernia. [ Methods ] A total of 105 patients with inguinal hernia were randomly assigned to receive either opening anterior pre-peritoneal hernia repair （n =52） and Lichtenstein hernia repair （n =53）. The differences in clinical effect were observed and analyzed between the two groups. [Results] No statistically significant was found from two groups＇ operation time, recurrence rate, but opening anterior pre-peritoneal hernia repair was significantly superior to Lichtenstein hernia repair approach in hospital day, complication incidence rate, and postoperative recurrence （P 〈0.05）. [ Conclusion ] Compared with Liehtenstein hernia repair, opening anterior pre-peritoneal hernia repair is an ideal choice, which can reduce operation time and complication incidence rate.

关 键 词：腹股沟疝 全腹膜外疝修补术 Lichtenstein疝修补术 

分 类 号：R657.8[医药卫生—外科学] R61[医药卫生—临床医学]