摘要
目的观察分析腹腔镜腹股沟疝修补术(LIHR)治疗老年腹股沟疝的临床疗效。方法 56例老年腹股沟疝患者,随机分为对照组和观察组,各28例。对照组患者采用开放式无张力疝修补术进行治疗,观察组采用LIHR进行治疗。比较两组患者的治疗效果。结果对照组患者创口长度、术中失血量、住院时间、术后止痛药使用次数、疼痛得分均明显高于观察组,差异具有统计学意义(P<0.05);对照组手术时间短于观察组,差异具有统计学意义(P<0.05)。对照组并发症发生率为28.57%,观察组为7.14%,比较差异具有统计学意义(P<0.05)。结论采用LIHR治疗老年腹股沟疝具有创口小、术中失血量少、恢复快、并发症发生率低等优势,值得在临床推广。
Objective To observe and analyze the clinical efficacy of laparoscopic inguinal hernia repair （LIHR） in the treatment of elderly inguinal hernia. Methods A total of 56 elderly patients with inguinal hernia were randomly divided into control group and observation group, with 28 cases in each group. The control group was treated with open tension-free herniorrhaphy, and the observation group was treated with LIHR. The treatment effect in two groups was compared. Results The control group had obviously higher wound length, intraoperative bleeding volume, hospitalization time, numbere of postoperative analgesic drug use and pain score than the observation group, and their difference was statistically significant （P〈0.05）. The control group had shorter operation time than the observation group, and the difference was statistically significant （P〈0.05）. The control group had incidence of complications as 28.57%, which was 7.14% in the observation group, and the difference was statistically significant （P〈0.05）. Conclusion LIHR has advantages of small wound, less intraoperative bleeding volume, fast recovery time and low incidence of complications, and worthy of clinical promotion.
出处
《中国实用医药》
2017年第36期29-30,共2页
China Practical Medicine
关键词
腹腔镜腹股沟疝修补术
腹股沟疝
临床疗效
Laparoscopic inguinal hernia repair
Inguinal hernia
Clinical efficacy
