腹腔镜与开放手术治疗老年腹壁切口疝的临床研究  

Clinical study on laparoscopic vs.open treatments for geriatric abdominal wall incision hernia

作　　者：王嘉[1] 安伟德[1] 李玉文[1] 徐雪东[1] 张伟国[1] 

机构地区：[1]大连医科大学附属第一医院普外科,116600

出　　处：《中华实验外科杂志》2015年第2期400-402,共3页Chinese Journal of Experimental Surgery

摘　　要：目的 探讨开放与腹腔镜切口疝修补术对老年腹壁切口疝患者的临床疗效.方法 分析60周岁以上腹壁切口疝患者52例的临床资料,其中开放组24例,腹腔镜组28例.结果 两组在手术时间、切口感染、血清肿方面比较差异无统计学意义（P＞0.05）,但腹腔镜组术中出血量[（9±4） ml]、住院时间[（8±3）d]、术后疼痛7例（25.01％）,明显优于开放组（P＜0.05）.两组均无患者死亡,随访3个月至2年,开放组复发3例,腹腔镜组未见复发.结论 两种治疗方法同样安全有效,但腹腔镜切口疝修补术具有创伤小、疼痛轻、恢复快、住院时间短等优点.Objective To explore the clinical effectiveness of open incisional hernia repair vs.laparoscopic incisional hernia repair for geriatric abdominal wall incisional hernia.Methods The clinical data of 52 patients above 60 years old with abdominal wall incisional hernia were analyzed,including 24 cases in the open group and 28 cases in the laparoscopic group.Results No significant difference in operation time,wound infection,and seromas was observed.However,blood loss [（9 ± 4） ml] was reduced,and hospital stay [（g ±3） d] was shortened in the laparoscopic group as compared with the open group.Postoperative pain occurred in 7 cases （25.01%） of laparoscopie group.There were no deaths in both two groups.During a follow-up period of 3 months to 2 years,there were 3 relapsed cases in the open group,and no recurrence occurred in the laparoscopic group.Conclusion Both open and laparoscopic treatments are safe and effective,but laparoseopie incisional hernia repair has the less trauma,milder pain,more rapid recovery,and shorter hospital stays for geriatric abdominal wall incisional hernia.

关 键 词：腹壁切口疝 腹腔镜 疝修补术 老年患者 

分 类 号：R656.2[医药卫生—外科学]