传统的疝修补术、无张力疝修补术、腹腔镜疝修补术临床疗效对照研究  

Conventional inguinal herniorrhaphy,open tension-free hernioptasty and laparoscopic ventral hernia repair for the treatment of abdominal inguinal hernia

作　　者：李建华[1] 韩玲[1] 

机构地区：[1]河南省新乡市中心医院普外一科,河南新乡453000

出　　处：《中国内镜杂志》2012年第6期636-639,共4页China Journal of Endoscopy

摘　　要：目的探讨3种不同的疝修补术在腹股沟斜疝治疗中的应用价值。方法分别采用传统的疝修补术、无张力疝修补术、腹腔镜疝修补术3种方法治疗成人腹股沟疝,并比较3组的临床指标。结果腹腔镜疝修补术组耗时最长达(62.5±14.8)min,其住院费用达(7944.±8656.7)元,均显著高于其他两组(P<0.05),但腹腔镜组术后切口感染率为0%,切口血肿/阴囊血肿发生率仅为6.3%,较其他两组显著降低(P<0.05)。无张力疝修补术及腹腔镜疝修补术组术后无1例复发。无张力疝修补术及腹腔镜疝修补术组患者WBC,FH,C-RP,α1-AT均显著高于手术前。结论 3种术式中腹腔镜疝修补术具有微创、并发症少等优点,无张力疝修补术具有较高的性价比,两种术式均未增加伤口感染发生率。[ Objective ] To study the effect of conventional inguinal herniorrhaphy, open tension-free hemiop- tasty and laparoseopic ventral hernia repair on abdominal inguinal herniation. [ Methods ] Using three surgical meth- ods including the traditional hernia repair, no tension hernia operation and laparoscopic hernia repair to treat the groin hernia, and compared to the clinical index of the three groups. [Results] Laparoseopic hernia repair last for （62.5±14.8） min, the medical expenses was （7944.8±656.7） Ynan, which was significantly higher than the other two groups （P 〈0.05）, but postoperative incision infection rate of laparoscopic group was 0%, the incision hematoma/ scrotum hematoma was only 6.3%, which was significantly reduced to the other two groups （P 〈0.05）. WBC, FH, C- RP, and alpha 1-AT in OTFH and LVHR groups were significantly higher than surgery before. [ Conclusions ] La- paroscopic Ventral Hernia Repair has less complications, and open tension-free hernioplasty has high cost perfor- mance. The two don＇t increase the surgical wound infection rate.

关 键 词：无张力疝修补术 传统修补术 腹腔镜疝修补术 

分 类 号：R656.2[医药卫生—外科学]