腹腔镜疝修补术与填充式无张力疝修补术的对比研究  

Comparing the Laparoscopic Hernia Repair and Filled with Tension-free Hernia Repair

作　　者：牟云川 黄世华 翟勋 

机构地区：[1]云南省昭通市第一人民医院,云南昭通657000

出　　处：《中国医药指南》2015年第34期23-24,共2页Guide of China Medicine

摘　　要：目的对比腹腔镜疝修补术与填充式无张力疝修补术在治疗腹股沟疝中的应用价值。方法选取2012年6月至2015年6月我院收治的腹股沟疝患者96例,作为研究对象。其中行腹腔镜疝修补术患者50例(A组),填充式无张力疝修补术46例(B组),两组患者基础资料比较无显著差异,比较两组患者一般指标及术后并发症发生率。结果两组患者术后并发症发生率、术中出血量、1年复发率比较无显著差异,P>0.05,不具有统计学意义;A组患者住院时间、术后疼痛程度明显低于B组,但B组患者手术用时低于A组,P<0.05,差异具有统计学意义。结论腹腔镜疝修补术与填充式无张力疝修补术均可作为腹股沟疝的有效治疗手段,两种术式优缺点各异,在实际应用中需结合患者实际情况,选择最为恰当的方式。Objective To compare the application value between the laparoscopic hernia repair and filled with tension-free hernia repair for ingainal hernia treatment. Meethods 96 cases with inguinal hernia, which admitted in our hospital during June 2012-June 2015, were selected as the research object. 50 cases were given the laparoscopic hernia repair （A group） and the other 46 cases were given the fdled with tension-free repair hernia repair. Basic data was no significant difference in both groups; general index and the incidence of postoperative complications of the two groups were compared. Results Incidence of postoperative complications, inntraoperative blood loss, and 1 year recurrence rate of the two groups were no significant difference, there was no statistically significant difference （P〉0.05）. The hospital stay, postoperative pain degree of the A group was lower than that of the group B, while the operation time of the group B was lower than that of A group, the difference was significant statistically significant （P〈0.05）. Conclusion Laparoscopic hernia repair and filled with tension-free hernia repair can be as effective treatment of inguinal hemia, two kinds of operative methods advantages and disadvantages of each different, in the actual application needs in combination with the practical situation of patients, select the most appropriate way.

关 键 词：腹腔镜疝修补术 填充式无张力疝修补术 腹股沟疝 临床疗效 

分 类 号：R656.21[医药卫生—外科学]