摘要
目的探讨改良Kugel术与免固定TAPP术的差异。方法：收治80例腹股沟疝患者，分为TAPP术组与改良Kugel术组各40例，对比两组的治疗效果。两组患者在手术时间、出血量上进行比较，无明显差异，P〉0．05。TAPP组在下床活动时间优于改良Kugel组，但住院费用明显高于改Kugel组（P〈0．05）。结论：TAPP术减少了对神经、血管的损伤，降低了术后并发症，是安全、有效的无张力疝修补技术。值得推广。然而，改良Kugel术不需要腹腔镜设备，降低了治疗费用，性价比高，适合基层医院与经济条件差的患者。
Objective To explore the differences between the modified Kugel and the non fixed TAPP. Methods： Methods 80 cases of inguinal hernia were divided into TAPP group and modified Kugel group, 40 cases in each group, the treatment effect was compared between the two groups. Results： Two groups of patients in the operation time, the amount of bleeding were compared, no significant difference, P〉0.05. In the TAPP group, the time of getting out of bed was better than that of the improved Kugel group, but the cost of hospitalization was significantly higher than that of Kugel group （P〈0.05）. Conclusion： TAPP can reduce the injury of nerve and blood vessels, reduce the postoperative complications, and is safe and effective without Zhang Lishan repair technology. Worth promoting. However, the modified Kugel does not require laparoscopie equipment, reduce the cost of treatment, cost,effective, suitable for patients with poor economic conditions at the grassroots level.
出处
《世界中医药》
CAS
2016年第B06期1717-1718,共2页
World Chinese Medicine
