对比腹腔镜经腹腹膜前疝修补术与开放无张力疝修补术治疗腹股沟疝的临床疗效  

Clinical effect comparation between laparoscopic transabdominal preperitoneal prosthesis for hernia and open tension-free herniorrhaphy in the treatment of inguinal hernia

作　　者：刘礼军[1] 余伟[1] 湛向伟 匡勇军 Liu Liju;Yu Wei;Zhan Xiangwei;Kuang Yongjun(The People's Hospital of Hanchuan City 431600)

机构地区：[1]汉川市人民医院,431600

出　　处：《中国社区医师》2017年第4期48-49,共2页Chinese Community Doctors

摘　　要：目的:比较腹腔镜经腹腹膜前疝修补术与开放无张力疝修补术治疗腹股沟疝的临床疗效。方法:收治腹股沟疝患者70例,按不同治疗方法分为两组。观察组给予腹腔镜经腹腹膜前疝修补术治疗,对照组给予开放物张力疝修补术治疗,对比两组临床疗效。结果:观察组术中出血量、住院时间以及术后VAS评分低于对照组,手术时间长于对照组,住院费用高于对照组,差异有统计学意义(P<0.05)。两组术后并发症发生率比较,差异无统计学意义(P<0.05)。结论:腹腔镜经腹腹膜前疝修补术治疗腹股沟疝的临床疗效显著,术后并发症较少。Objective:To compare the clinical effect between laparoscopic transabdominal preperitoneal prosthesis for hernia and open tension-free herniorrhaphy in the treatment of inguinal hernia.Methods:70 cases of patients with inguinal hernia were divided into two groups according to different treatment methods.The observation group was treated with laparoscopic transabdominal preperitoneal prosthesis for hernia.The control group was treated with open tension-free herniorrhaphy.Theclinical effect of the two groups was compared.Results:The intraoperative blood loss,hospitalization time and postoperative VASscores in the observation group were lower than those in the control group;the operation time was longer than that in the controlgroup;the hospitalization cost was higher than that of the control group;the differences were statistically significant (P<0.05).There was no significant difference of the incidence of postoperative complications between groups (P<0.05).Conclusion:Laparoscopic transabdominal preperitoneal prosthesis for hernia in the treatment of inguinal hernia had significant clinical effect and less postoperative complications.

关 键 词：腹股沟疝 腹腔镜 疝修补术 

分 类 号：R656.21[医药卫生—外科学]