腹股沟疝采用腹腔镜和开放式无张力修补手术治疗的对比研究  

Comparison Between Laparoscopic Herniorrhaphy and Open Tension-free Hernia Repair

作　　者：彭淮都[1] 

机构地区：[1]汕头市中心医院外二科,515000

出　　处：《中外医疗》2015年第20期27-29,共3页China & Foreign Medical Treatment

摘　　要：目的研究比较腹股沟疝采用腹腔镜和开放式无张力修补手术治疗的效果。方法基于手术方式的不同将该院收治的84例腹股沟疝患者分为腹腔镜组和开放式组,两组病例数均为42例,腹腔镜组采用腹腔镜疝修补术治疗,开放式组采用开放式无张力修补手术治疗,记录和比较两组患者手术时间、术后下床活动时间、住院天数、2周内恢复非限制性活动情况、并发症发生率以及疼痛分数。结果两组在住院天数、下床活动时间以及疼痛分数差异有统计学意义(P<0.05);在手术时间、并发症发生率以及2周内恢复非限制性活动情况上比较差异无统计学意义(P>0.05)。结论在腹股沟疝临床治疗中,腹腔镜与开放式无张力修补术各具优势,均安全且有效,临床实践过程中明确术式时可根据患者自身需求、手术类型以及医师自身经验选择合理的手术方式。但相对于开放式无张力修补手术而言,采用腹腔镜疝修补术治疗,可有效缓解疼痛,缩短术后下床活动时间以及住院天数,若条件允许,可优先选用该方法进行治疗。Objective To compare the effect between laparoscopic herniorrhaphy and open tension-free hernia repair for inguinal hernia. Methods Based on the different methods of surgery of our hospital, 84 patients with inguinal hernia admitted to our hospital were divided into laparoscopic group（n=42） and open group（n=42）.Patients in the laparoscopic group were treated with laparoscopic herniorrhaphy, while those in the open group underwent open tension-free hernia repair. The operation time, postoperative ambulation time, hospitalization days, recovery of unrestricted activity in 2 weeks, complications rate and pain scores of the two groups were recorded and compared. Results There were statistically significant differences between the hospitalization days, ambulation time and pain scores of the two groups, P〈0.05; but there were not between the operation time, complications rate and recovery of unrestricted activity in 2 weeks, P〉0.05.Conclusion In clinical treatment of inguinal hernia, as two safe and effective operation method, both laparoscopic herniorrhaphy and open tension-free hernia repair hold their own advantages. Which one is better depends on the patient＇s need, operation types and physician＇s experience. But compared with open tension-free hernia repair, laparoscopic herniorrhaphy can effectively alleviate pain, shorten the postoperative ambulation time and hospitalization days,therefore it should be given priority under some conditions.

关 键 词：开放式 腹股沟疝 修补 腹腔镜 手术 无张力 

分 类 号：R656.21[医药卫生—外科学]