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腹腔镜完全腹膜外疝修补术与传统疝修补术治疗腹股沟疝的临床疗效对比 被引量:17

Comparison of clinical efficacy of laparoscopic total external repair( TEP) and traditional hernia repair in the treatment of inguinal hernia
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摘要 目的:比较腹腔镜完全腹膜外疝修补术(TEP)与传统疝修补术治疗腹股沟疝的临床疗效。方法:选取收治的100例腹股沟疝患者分为对照组(50例)与试验组(50例)。对照组采取传统疝修补术治疗,试验组采用腹腔镜完全腹膜外疝修补术。评估两组手术情况、术后并发症以及远期病情复发情况。结果:试验组患者术中出血量更少,手术用时与住院时间更短,术后首次排气时间与肢体活动时间更早,与对照组比较,差异具有统计学意义(P<0.05)。试验组并发症发生率6.0%,较对照组的20%更低,差异有统计学意义(P<0.05)。对照组复发率12.0%,明显高于试验组的2.0%,差异有统计学意义(P<0.05)。结论:腹腔镜完全腹膜外疝修补术术创较小,并发症发生率较低,患者术后恢复速度较快,且远期不易复发,效果更优于传统疝修补术。 Objective To compare the clinical effect of laparoscopic total external repair( TEP) and traditional hernia repair in the treatment of inguinal hernia. Method 100 cases of inguinal hernia were divided into the control group(50 cases) and the experimental group(50 cases). The control group was treated with traditional hernia repair,and the experimental group was treated with laparoscopic total abdominal hernia repair. Ther operation,postoperative complications and recurrence of the disease of the two groups were observed. Results The experimental group patients with less bleeding,surgery and hospitalization time were shorter,the first exhaust time and physical activity time were earlier,compared with the control group,there was statistical significance( P〈 0. 05). The complication rate of the experimental group was 6. 0%,which was lower than that of the control group20%( P 〈0. 05). The recurrence rate of control group was 12. 0%,which was significantly higher than that of the experimental group 2. 0%( P 〈0. 05). Conclusion Laparoscopic total peritoneal hernia repair is less invasive,the complication rate is low,the recovery rate is faster,and the long-term is not easy to recur,the effect is better than the traditional hernia repair.
作者 尹照成
出处 《吉林医学》 CAS 2017年第2期285-287,共3页 Jilin Medical Journal
关键词 腹股沟疝 传统疝修补术 腹腔镜完全腹膜外疝修补术 Inguinal hernia Traditional hernia repair Laparoscopic total abdominal hernia repair
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