摘要
目的探讨“卷帘”法放置生物补片在经腹腹膜前疝修补术的可行性和优越性。方法我科收治60例腹腔镜下经腹腹膜前疝修补术时使用生物补片患者，按照随机数字表法分为观察组及对照组，观察组为使用“卷帘”法放置生物补片，对照组为使用传统平铺法放置疝补片，对比分析两组患者的手术时间、平均住院费用、手术并发症发生率。结果60例腹腔镜下经腹腹膜前疝修补术均成功完成，无中转开放手术。观察组和对照组总手术时间分别为（55．0±4．6）min和（70．0±7．8）min，两组差异有统计学意义（t=2．48，P〈0．05）。观察组和对照组的平均住院费用分别为（22380±432）元和（24340±624）元，两组差异有统计学意义（t=2．06，P〈0．05）。观察组和对照组的并发症发生率为（3．33％，1／30）和（16．70％，5／30），两组差异有统计学意义（χ2=5．93，P〈0．05）。结论在腹腔镜疝修补术中应用“卷帘”法放置生物补片，较传统放置法优势明显，术中、术后并发症较少。
Objective To comment on the feasibility and advantage of using the ＂rolling curtain＂ method to place biological hernia patches in abdominal peritoneum hernia neoplasty. Methods Sixty cases undergoing laparoscopic abdominal peritoneum hernia neoplasty with biological patches from January 2013- January 2014 were divided into control group and observation group using random number table method. The patients in the observation group were given ＂ rolling curtain＂ method to place biological patch, and those in the control group were subjected to the traditional tiling method to place hernia patch. The operation time, hospital fees, and occurrence rate of surgical complications were comparatively ana- lyzed in the two groups. Results All 60 cases of laparoscope Abdominal peritoneum hernia neoplasty were successful. None were converted to open operations. Total operation time in the observation group and con- trol group was （55.0 ±4. 6） min and （70.0±7.8） min, respectively （t =2. 48,P 〈0. 05）. The hospital fees in the observation group and control group were （χ2 380±432） yuan RMB and （24 340±624） yuan RMB, respectively （t =2. 06 ,P 〈0.05）. The incidence of surgical complications in the observation group and control group was 3.33% （1/30） and 16. 70% （5/30）, respectively （χ2 =5.93,P 〈0. 05）. Conclu- sion The ＂rolling curtain＂ method can be applied to laparoscopic abdominal peritoneum hernia neoplasty with biological patches. Compared with the traditional method, the ＂rolling curtain＂ method has apparent advantages, and fewer complications during and after the operation, thus is recommended.
出处
《中华实验外科杂志》
CAS
CSCD
北大核心
2016年第12期2761-2763,共3页
Chinese Journal of Experimental Surgery
关键词
生物补片
腹腔镜
疝修补
Biological patch
Laparoscope
Hernia neoplasty
