不同直径腹股沟疝应用腹腔镜疝修补术治疗的临床疗效比较  

Clinical Efficacy of Laparoscopic Hernia in Treating Inguinal Hernia with Different Diameters

作　　者：许雪飞[1] 薛绪潮 丁丹[2] 许钱江 

机构地区：[1]江苏省苏州市相城人民医院普外科,江苏苏州215131 [2]上海长海医院普一科,上海200433

出　　处：《河北医学》2014年第12期2025-2027,共3页Hebei Medicine

摘　　要：目的:比较不同直径腹股沟疝应用腹腔镜疝修补术治疗的临床疗效。方法:选取自2009年2月至2013年10月收治的80例腹股沟疝患者作为研究对象,按照疝环直径大小将80例患者分为A组(疝环直径≥10cm)38例与B组(疝环直径<10cm)42例,均给予腹腔镜疝修补术治疗,比较两组患者手术疗效。结果:两组患者手术时间及住院时间比较均无明显差异(P>0.05),但A组术中出血量明显少于B组(P<0.05),A组术后切口疼痛2例,B组术后切口感染1例、切口血肿1例,两组患者术后并发症发生率分别为5.26%、4.76%,组间比较无明显差异(X2=1.027,P=0.182),无统计学意义。结论:大直径腹股沟疝与小直径腹股沟疝采用腹腔镜疝修补术治疗同样安全有效,且术中损伤较小,更利于手术操作。Objective：To compare the clinical efficacy of laparoscopic hernia in treating inguinal hernia with different diameters.Method：80 cases with inguinal hernia treated from Feb .2009 to Oct.2013 were se-lected as research objects and divided into two groups according to the diameters , group A for 38 cases （ the hernia diameter≥10cm）and group B for 42 cases（the hernia diameter〈10cm）.The patients were treated with laparoscopic hernia .The operation efficacy of two groups was compared .Result： There was no evident difference for operation time and length of stay between two groups （ P〉0.05） .The bleeding amount in opera-tion of group A was evidently less than that of group B （P〈0.05）.For group A, there were 2 cases with post-operative incision pain .And in group B , there was 1 case with postoperative incision infection and 1 case with incision hematomas .The incidence rate of complications for two groups was 5.26%and 4.76%.There was no evident difference between two groups （X2=1.027,P=0.182）, which had statistical significance. Conclusion：Laparoscopic hernia in treating inguinal hernia with large dimater and small diameter not only has good efficacy , but also has little intraoperative injury , which is good for operation .

关 键 词：腹股沟疝 腹腔镜疝修补术 不同直径 

分 类 号：R656.2[医药卫生—外科学]