腹腔镜疝修补术治疗高龄腹股沟疝的临床效果观察  

Clinical Observation on Laparoscopic Hernia Repair in the Treatment of Elderly Inguinal Hernia

作　　者：刘世祺 李胜[2] 吴琳[3] 张保贵[3] 邱维龙 郭东立[3] 

机构地区：[1]济南大学山东省医学科学院医学与生命科学学院,山东济南250000 [2]山东省医学科学院肿瘤医院肝胆外科,山东济南250117 [3]山东省济宁医学院附属医院胃肠外科,山东济宁272029

出　　处：《中国卫生标准管理》2017年第19期74-75,共2页China Health Standard Management

摘　　要：目的观察腹腔镜疝修补术治疗高龄腹股沟疝患者的临床效果。方法选取2014年3月—2016年3月在我院接受治疗的高龄腹股沟疝患者,随机分为观察组和对照组,各30例,对照组采用开放式无张力疝修补术,观察组实施腹腔镜疝修补术,对比两组患者的治疗效果。结果观察组患者手术时间长于对照组,但是观察组患者的术中出血量、术后疼痛时间以及住院时间低于对照组(P<0.05);观察组患者术后并发症的发生率高于对照组(P<0.05)。结论腹腔镜疝修补术治疗高龄腹股沟疝效果良好,同时还可以减少相关并发症的发生。Objective To observe the clinical effect of laparoscopic hernia repair in elderly patients with inguinal hernia. Methods Elderly inguinal hernia patients who were treated in our hospital from March 2014 to March 2016 were randomly divided into observation group and control group, 30 cases in each group, the control group was treated with open tension-free hernia repair, the observation group was treated with laparoscopic hernia repair, therapeutic effect of the two groups were compared. Results The operation time of the observation group was longer than that of the control group, however, the amount of bleeding, the time of postoperative pain andthe length of stay in the observation group were lower than those in the control group （P 〈 0.05）. The incidence of complications after operation in the observation group was higher than that in the control group （P 〈 0.05）. Conclusion Laparoscopic hernia repair for elderly patients with inguinal hernia is effective and can reduce complications.

关 键 词：腹腔镜疝修补术 高龄 腹股沟疝 

分 类 号：R656[医药卫生—外科学]