巴德双面补片在腹腔镜腹股沟疝修补术中的应用  

The Feasibility of clinical application about laparoscopic inguinal herniorrhaphy with intraperitoneal onlay Bard double,face composix mesh

作　　者：常晓健[1] 师天雄[1] 何荣佳[1] 余元龙[1] 胡泽民[1] 

机构地区：[1]中山市人民医院普外一科,广东528403

出　　处：《外科理论与实践》2004年第3期258-260,共3页Journal of Surgery Concepts & Practice

摘　　要：目的:探讨腹腔镜下采用巴德双面补片在腹股沟疝行腹腔内植入修补术式临床应用上的可行性及其与开放式无张力腹股沟疝修补术的可比性。方法:将腹腔镜组100例与对照组100例(均为开放式无张力腹股沟疝修补术)按病种、手术方式、术后恢复情况作对比研究。结果:腹腔镜组100例平均手术时间为11.15min(不计麻醉时间),对照组平均手术时间为41.14min(P<0.0001);腹腔镜组术后当天下地活动并进食者96例,对照组为29例(P<0.0001);腹腔镜组术后第1天有低热者10例,对照组为35例(P<0.001);腹腔镜组术后留院最短2d,对照组为5d,腹腔镜组最长7d,对照组为8d;腹腔镜组术后平均住院日为2.96d,对照组为5.83d(P<0.0001)。术中、术后均未出现并发症;追踪3年至今未发现一例复发。结论:本手术是集开放无张力腹股沟疝修补术式的优点,同时弥补其缺点的可行性术式。它简便易行,易推广,有较好的临床应用价值。Objective To discuss the clinical feasibility of the present operation and its comparison with the open non,tension herniorrhaphy. Methods One hundred cases of the study group were compared with 100 cases of the control group in the light of category of patient, form of operation, and status after recovery. Results All cases were successful in the study group, with an average time of operation of 11.15 min, as compared to 41.14 min in the control group (P<0.0001); the average duration of hospitalization after operation was 2.96 d in the study group, and 5.83 d in the control group (P<0.0001); there was not a case of recurrence during the 3 years of follow,up. Conclusion The operation under study possesses the advantages of non,tension herniorrhaphy while avoiding the shortcomings.It is a simple and convenient procedure of clinical value.

关 键 词：腹腔镜 腹腔内植入 腹股沟疝修补术 

分 类 号：R656.21[医药卫生—外科学]