摘要
目的探讨腹腔镜完全腹膜外腹股沟疝修补术治疗原发性单侧腹股沟斜疝的临床的效果。方法回顾分析2014年1月至2017年1月120例原发性单侧腹股沟斜疝患者资料,根据术式不同分为微创手术组和开放手术组,各60例。开放手术组患者使用传统的经正中线切口腹膜前腹股沟疝修补术进行治疗,微创手术组患者使用腹腔镜完全腹膜外腹股沟疝修补术进行治疗。采用SPSS18.0软件处理数据,两组患者各手术指标、疼痛评分等计量资料采用(x±s)表示,行独立t检验;并发症发生率等采用χ~2检验;P<0.05差异有统计学意义。结果微创手术组中患者并发症发生率少于开放手术组患者(P<0.05);两组患者手术时间无差异(P>0.05),微创手术组患者下床活动时间与住院时间均短与开放手术组患者(P<0.05),VAS评分优于开放手术组患者(P<0.05)。结论应用腹腔镜完全腹膜外腹股沟疝修补术进行治疗效果显著,在临床上应该进一步推广应用。
Objective To evaluate clinical efficacy of the laparoscopic total extraperitoneal inguinal herniorrhaphy in the treatment of primary unilateral inguinal hernia. Method From January 2014 to January 2017, 120 patients with primary unilateral indirect inguinal hernia treated in our hospital were analyzed retrospectively, According to the different operation methods, 120 patients were divided into two groups： minimally invasive operation group （n = 60 ） and open operation group （n = 60 ） . Patients in minimally invasive operation group were treated with total laparoscopic extraperitoneal inguinal hernia repair. Statistical analysis were performed by using SPSS18.0 software. Perioperative measurement data, such as operative index and VAS score were expressed as （ x ± s ）, and were examined by using t test. The postoperative complication rate was analyzed by Chi-square test. A P value 〈 0.05 was considered as statistically significant difference. Results The incidence of complications in the minimally invasive operation group was less than that in the open surgery group （ P 〈 0.05 ） . There was no significant difference between minimally invasive surgery group and open operation group in terms of operation time （ P 〉 0.05 ）, The time of ambulation and hospital stay were shorter in the minimally invasive operation group than those in the open operation group （ P 〈 0.05 ） ; The VAS score of the minimally invasive surgery group was better than that of the open operation group （ P 〈 0.05 ）. Conclusion Total laparoscopic extraperitoneal inguinal hernia repair was effective, should be further popularized in clinical application.
作者
洪晓城
林汉昇
陈家阳
叶伟杰
杨彩云
Hong Xiaocheng;Lin Hansheng;Chen Jiayang;Ye Weijie;Yang Caiyun(The Fifth People＇s Hospital of Dongguan 523900;The first Hospital of Hebei Medical University 050051)
出处
《中华普外科手术学杂志（电子版）》
2018年第4期296-298,共3页
Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)
基金
河北省2015年度医学科学研究重点课题计划(20150225)~~
