腹腔镜完全腹膜外疝修补术与开放无张力疝修补术治疗腹股沟疝的疗效对比  

Comparison of the Efficacy of Laparoscopic Totally Extraperitoneal Hernioplasty and Open Tension-free Hernioptasty in the Treatment of Inguinal Hernia

作　　者：李志旺[1] 吴祖光[1] 李恩[1] 张灼新[1] 唐小波 张日雄[1] LI Zhi-wang;WU Zu-guang;LI En(Department of Gastrointestinal Surgery,Meizhou People’s Hospital,Meizhou 514031,Guangdong Province,China)

机构地区：[1]广东省梅州市人民医院胃肠外一科

出　　处：《罕少疾病杂志》2019年第5期44-46,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探讨采用腹腔镜完全腹膜外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。方法回顾性分析我院2012年6月至2018年6月期间腹股沟疝患者1428例的临床资料,对照组682例行开放无张力疝修补术治疗,观察组746例行腹腔镜完全腹膜外疝修补术治疗,对两组患者术后疼痛程度、住院时间、住院费用、复发率以及切口感染、腹股沟区血肿等指标进行分析。结果观察组术后第一天疼痛程度、住院时间、复发率、切口感染发生率低于对照组,差异有统计学意义(P<0.05);观察组腹股沟区血肿发生率虽然低于开放组,但两组比较差异无统计学意义(P>0.05);观察组住院费用高于对照组,差异有统计学意义(P<0.05)。结论腹腔镜完全腹膜外疝修补术治疗腹股沟疝效果较好,可有效缩短住院时间,降低复发率及并发症发生率。Objective To investigate the clinical effect of laparoscopic totally extraperitoneal hernioplasty and open tension-free hernioplasty in the treatment of inguinal hernia.Methods 1428 patients with inguinal hernia in our hospital from June 2012 to June 2018 were retrospectively analyzed,and which were divided into observation group(n=746)and control group(n=682).The observation group were treated by laparoscopic totally extraperitoneal hernioplasty and the control group with open tension-free hernioplasty.The postoperative pain,hospitalization time,hospitalization expenses,recurrence rate,incision infection,inguinal hematoma were compared between the two groups.Results The pain degree on the first day after operation,hospitalization time,recurrence rate and incision infection rate of the observation group were lower than those of the control group(P<0.05).Although the incidence of inguinal hematoma in the observation group was lower than that of the open group,there was no significant difference between the two groups(P>0.05).The hospitalization cost of the observation group was higher than that of the control group,with significant difference(P<0.05).Conclusion Laparoscopic totally extraperitoneal hernioplasty is effective in the treatment of inguinal hernia,which can effectively shorten the hospital stay,reduce the recurrence rate and the incidence of complications.

关 键 词：腹股沟疝 腹腔镜完全腹膜外疝修补术 开放无张力疝修补术 临床疗效 

分 类 号：R657.8[医药卫生—外科学]