腹腔镜与开放手术治疗腹壁切口疝的临床效果比较  

Comparison of the clinical effect of laparoscopic and open surgery in the treatment of incisional hernia of abdominal wall

作　　者：黄坤寨[1] 张福星[1] 黄小蓉[1] HUANG Kunzhai ZHANG Fuxing HUANG Xiaorong(Department of General Surgery, the First Affiliated Hospital of Xiamen University, Xiamen 361000, China)

机构地区：[1]厦门大学附属第一医院普外科,福建厦门361000

出　　处：《中国现代医生》2017年第33期50-52,共3页China Modern Doctor

摘　　要：目的观察及分析针对腹壁切口疝患者分别施行开放切口疝修补术(OVHR)和腹腔镜切口疝修补术(LVHR)治疗的临床价值,旨在比较两种手术方案的优劣。方法选择2014年1月~2017年7月间本科室接收的90例腹壁切口疝患者,对其临床资料进行回顾性分析,按照其施行的手术方案,将其中选择OVHR术式治疗的40例患者分为对照组,选择LVHR术式治疗的50例患者为试验组。手术过程中记录两组的手术操作时间与出血量,术毕后对两组的住院时间与并发症发生情况进行记录。结果两组的手术操作时间对比差异不显著(P>0.05);与对照组比较,试验组患者的手术出血量更少,住院时间更短,术后疼痛发生率更低(P<0.05),而其他并发症发生率比较差异无统计学意义(P>0.05)。结论腹壁切口疝患者确诊后施行LVHR术式具备微创、术后恢复快、疼痛轻等优点,值得医护人员借鉴。Objective To observe and analyze the clinical value of open incisional hernia repair （OVHR）and laparo- scopie incisional hernia repair（LVHR）in patients with abdominal ineisional hernia, so as to compare the upsides and downsides of the two surgical regimens. Methods From January 2014 to July 2017, 90 patients with abdominal inci- sional hernia who were received in our department were selected, and the clinical data were retrospectively analyzed. According to the differences of implementation of surgical regimens, 40 patients who selected OVHR were divided into control group, and 50 patients who selected LVHR were divided into the study group. During the operation, the operation time and the amount of bleeding were recorded in both groups, and the time of stay and the occurrence of complications were recorded after the operation in both groups. Results There was no significant difference in the operation time between the two groups （P〉0.05）; compared with the control group, the amount of surgical bleeding in the study group was less, the time of hospital stay was significantly shorter, and the incidence rate of postoperative pain was lower（P〈0.05）, while the difference of the incidence rate of other complications was not significantly different （P〉0.05）. Conclusion LVHR operation has the advantages of minimal invasion, fast postoperative recovery and mild pain in the patients diagnosed with incisional hernia of abdominal wall, which is worthy of being learned from by medical staff.

关 键 词：腹壁切口疝 开放切口疝修补术 腹腔镜切口疝修补术 并发症 复发 

分 类 号：R656.2[医药卫生—外科学]