腹腔镜与开放组织结构分离技术治疗腹壁疝临床疗效比较  

Clinical efficacy comparison between laparoscopy and open tissue separation in the treatment of abdominal wall hernia

作　　者：陈正民[1] 周少波[1] 贲大刚[1] 许兆龙 CHEN Zheng-min;ZHOU Shao-bo;BEN Da-gang;XU Zhao-long(Department of General Surgery,The Second Affiliated Hospital of Bengbu Medical College,Bengbu Anhui 233040,China)

机构地区：[1]蚌埠医学院第二附属医院普外科,安徽蚌埠233040

出　　处：《蚌埠医学院学报》2019年第4期476-480,共5页Journal of Bengbu Medical College

摘　　要：目的:评价腹腔镜与开放组织结构分离技术对腹壁疝的治疗效果。方法:根据治疗方法不同将116例腹壁疝病人分为对照组与观察组,各58例,对照组给予开放组织结构分离技术,观察组给予腹腔镜组织结构分离技术;比较2组手术情况、疼痛情况、生活质量和术后感染、血肿等并发症发生情况及术后复发情况。结果:观察组术中出血量、切口长度、住院时间均小于对照组(P<0.01),而手术时长比较差异无统计学意义(P>0.05);观察组术后VAS评分及疼痛持续时间均低于对照组(P<0.01);术后,2组SF-36评分均升高,而观察组优于对照组(P<0.01);观察组术后感染率、血肿发生率及再次手术率均低于对照组(P<0.05～P<0.01),而手术疗效优于对照组(P<0.05)。结论:采用腹腔镜组织结构分离技术治疗腹壁疝,可有效降低病人术后感染率、血肿发生率及再次手术率。Objective:To compare the effects between laparoscopy and open tissue separation in the treatment of abdominal wall hernia. Methods:According to the different treatment methods,116 patients with abdominal hernia were divided into the control group and observation group(58 cases each group). The control group was treated with open tissue separation,and the observation group was treated with laparoscopic tissue separation. The operation time,pain,quality of life,postoperative infection,hematoma,complication and postoperative recurrence were compared between two groups. Results:The amount of bleeding during operation in the observation group was lower than that in the control group,and the length of incision and hospitalization time in the observation group were shorter than those in the control group(P <0. 01),but there was no statistical significance in operation time between two groups(P > 0. 05). The postoperative VAS score and pain duration time in observation group were lower than those in control group(P <0. 01). After operation, the SF-36 score in two groups increased,and which in observation group was better than that in control group(P < 0. 01). The postoperative infection rate,hematoma rate and re-operation rate in observation group were lower than those in control group(P <0. 05 to P <0. 01),while the curative effect in observation group was higher than that in control group(P < 0. 05). Conclusions:The treatment of abdominal wall hernia with laparoscopic tissue separation can effectively reduce the postoperative infection rate and incidence rate of hematoma and reoperation of patients.

关 键 词：腹腔镜 开放组织结构分离技术 腹壁疝 感染 血肿 

分 类 号：R656.3[医药卫生—外科学]