腹腔镜及开放式腹膜前间隙疝修补术治疗腹股沟疝的临床效果  

Clinical Effect of Laparoscopic and Open Anterior Peritoneal Interstitial Hernia Repair for Inguinal Hernia

作　　者：张晶[1] 刘磊[1] 

机构地区：[1]武汉科技大学附属天佑医院,湖北武汉430000

出　　处：《中国医学创新》2016年第32期115-118,共4页Medical Innovation of China

基　　金：湖北省卫生厅科研基金项目(JX2C42)

摘　　要：目的:探讨腹股沟疝应用腹腔镜及开放式腹膜前间隙疝修补术治疗的效果。方法:根据患者所治疗方案的不同,随机将2015年4月-2016年7月于本院实施治疗的腹股沟疝患者108例分为对照组(n=54)和观察组(n=54),对照组采用开放式腹膜前间隙疝修补术,而观察组采用TEP(无钉合完全腹膜外腹腔镜腹股沟疝修补术),通过对照研究的方式,探讨不同治疗方案应用于腹股沟疝患者的疗效。结果:观察组疼痛感和切口脂肪液化的发生率明显比对照组低(P<0.05),两组患者在血肿和尿潴留并发症发生率方面对比差异无统计学意义(P>0.05);观察组术后离床时间、住院时间、手术时间、术后进食时间均低于对照组(P<0.05);两组患者在导管拔出时间与术中出血量方面对比,差异均无统计学意义(P>0.05)。结论:腹股沟疝治疗过程中应用TEP方案治疗,可取得较为理想的手术效果,帮助患者更好地恢复健康,提高其生活质量,具有临床推广价值。Objective： To explore the clinical effect of laparoscopic and open anterior peritoneal interstitial hernia repair for inguinal hernia.Method： According to the different treatment options, 108 cases of inguinal hernia and who treated in our hospital from April 2015 to July 2016 were randomly divided into the control group （ n=54 ） and the observation group （ n=54 ） .The former were given the open repair of inguinal hernia while in the the latter were treated with TEP （ no screw combined with total laparoscopic inguinal hernia repair ） .Then, the clinical effect of different treatment schemes for patients with inguinal hernia were discussed by the controlled study of the way.Result： The incidence of pain and incision fat liquefaction of the observation group were significantly lower than those of the control group （ P〈0.05 ）, and there were no significant differences in the incidence of hematoma and urinary retention of two groups （ P〉0.05 ） .The off bed time, hospitalization time, operation time, postoperative feeding time, all aspects of the data of the observation group were lower than those of the control group （ P〈0.05 ） .There were no differences in the time of pulling out of the catheter and the amount of bleeding during operation between two groups （ P〉0.05 ） .Conclusion： The application of TEP regimen in the treatment of inguinal hernia, which can achieve more satisfactory results, help patients to better restore health, improve their quality of life, thus it has the value of clinical promotion.

关 键 词：开放式 腹腔镜 腹膜前间隙疝修补术 临床疗效 腹股沟疝 

分 类 号：R656.21[医药卫生—外科学]