摘要
目的 探讨腹股沟疝不同修补方法的临床效果。方法 对 10 8例腹股沟疝患者分别实施传统疝修补、无张力疝修补及腹腔镜疝修补的临床资料进行分析比较。结果 无张力疝修补的手术时间显著短于传统疝修补术 ,而腹腔镜疝修补的手术时间显著长于传统疝修补。无张力疝修补及腹腔镜疝修补术后患者的自主活动恢复时间、住院时间、手术并发症显著短于传统疝修补。随访至少 1年 ,传统疝修补 1例复发 ,无张力疝修补及腹腔镜疝修补均无复发。腹股沟疝修补后 ,患者的白细胞数、血清纤维蛋白原、C -反应蛋白和α -抗胰蛋白酶较术前显著增高。无张力疝修补及腹腔镜疝修补后上述指标与传统疝修补术后相比差异显著 (P <0 .0 5～P <0 .0 1)。结论 无张力疝修补及腹腔镜疝修补的近期疗效明显优于传统方法。尽管网塞及补片的应用可增强机体的炎性反应 ,但并不增加其伤口感染发生率。
Objective To evaluate the effect of various herniorraphy in treating inguinal hernia. Methods The clinical data of 108 patients who underwent conventional Bassini herniorraphy (BH), tension free herniorraphy (TH), or laparoscopic herniorraphy (LH),respectively were analysed and comparated. Results The operation time in TH was less than that in BH, and in LH was longer than that in TH. The ability recovery, hospita stay and postoperative complication in TH and LH were less than those in BH.All the patients were followed up for at least 1 year.Of them, 1 recurred after BH, but there was no recurrence after TH and LH. The blood neutrophils, serum level of fibrin, C-reactive protein and alpha-1 antitrypsin increased significantly in the patients undergoing herniorraphy, which were significantly higher in the patients underwent TH and LH. Conclusions The curative effect of TH and LH is much better than that of BH in treating ingumal hernia. Application of marlex for herniorraphy might increase inflammation response, but it will not increase the incidence of infection.
出处
《中国普通外科杂志》
CAS
CSCD
2003年第11期836-838,共3页
China Journal of General Surgery
基金
中国博士后科学研究基金资助 (2 0 0 1 - 1 4 )
