摘要
目的探讨腹腔镜腹膜前腹股沟疝聚丙烯补片修补术与开放式无张力疝修补术两种术式治疗腹股沟疝的临床效果，为腹股沟疝的临床治疗提供参考依据。方法选取2014年1月～2016年5月我院收治的成人腹股沟疝患者105例作为研究对象，随机分为对照组52例和观察组53例。观察组采用腹腔镜腹膜前腹股沟疝聚丙烯补片修补术，对照组采用传统开放式无张力疝修补术，对比两组疗效及并发症发生情况。结果观察组与对照组在手术时间上差异无统计学意义（44．1±16．7minVS．39．9±10．9min，t=1．9930，P〉0．05），观察组住院时间和术后恢复时间均显著短于对照组（4．2±0．9d VS．7．7±2．6d，6．2±1．8d VS．7．9±2．8d；t=9．2522，t=3．7078；P均〈0．05），术后疼痛评分观察组显著优于对照组（2．32±0．34VS．3．51±0．81。t=9．7816，P〈0．05），住院费用观察组高于对照组（12141±1632元VS．9753±1452元，t=7．9161，P〈0．05）；对照组术后并发症发生率为34．6％，显著高于观察组15．1%（x2=5．3688，P〈0．05）；术后观察组无一例复发，对照组2例复发，复发率为3．8％（2／52）。结论与开放式无张力疝修补术相比，腹腔镜腹膜前腹股沟疝聚丙烯补片修补术具有更好的疗效，值得在临床上推广使用。
Objective To investigate the clinical effect of aparoscopic transabdominal preperitoneal hernia repair with polypropylene mesh and open tension-free hernioplasty in order to provide reference for clinical therapy Of inguinal hernia. Methods 105 cases of inguinal hernia were selected and randomly divided into control group （52 cases） using open tension-free hernioplasty and observation group （53 cases） using TAPP. The clinical effect and complications were compared. Results There was no significant difference between the two groups of operative time （44.1 ± 16.7 min vs. 39.9 ± 10.9 min, t=1.9930, P 〉 0.05）. The length of stay and LOS and postoperative recovery time in observation group was shorter than control group （4.2 ± 0.9 d vs. 7.7 ± 2.6d, 6.2 ± 1.8d vs. 7.9 ± 2.8 d; t=9.2522, t=3.7078; P 〈 0.05）. The postoperative pain score in observation group was superior to control group （2.32 ± 0.34 score vs. 3.51 ± 0.81 score, t=9.7816, P 〈 0.05）. The hospitalization costs in observation group was higher than control group （12141± 1632 yuan vs. 9753 ± 1452 yuan, t=7.9161, P 〈 0.05）. The incidence of complications in control group was 34.6% and the observation group was 15.1% （x2=5.3688, P 〈 0.05）. The recurrence rate in observation group was 0 and control group of 3.8%（2/52）. Conclusion Compared with tension-free hernio plasty, TAPP was more effective and convenience for operation.
出处
《中国医药科学》
2016年第15期215-217,共3页
China Medicine And Pharmacy
关键词
腹股沟
疝
腹腔镜
疝修补术
聚丙烯补片
开放式
Inguinal
Hernia
Peritoneoscope
Herniorrhaphy
Polypropylene mesh
Open
