摘要
目的对比腹腔镜手术与传统开腹手术在腹股沟疝治疗中的临床效果。方法 80例腹股沟疝患者,随机分为观察组和对照组,每组40例。观察组患者应用腹腔镜手术进行治疗,对照组患者应用传统开腹手术进行治疗。对比两组患者的临床相关指标(术中出血量、术后疼痛时间、切口长度以及住院时间)和术后并发症发生情况。结果观察组患者术中出血量(7.89±1.93)ml、术后疼痛时间(28.16±5.89)h、切口长度(1.59±0.86)cm以及住院时间(6.38±1.34)d均优于对照组的(15.32±3.16)ml、(43.98±6.91)h、(3.96±1.28)cm、(8.94±1.26)d,差异具有统计学意义(P<0.05)。观察组患者术后并发症发生率7.5%低于对照组的25.0%,差异具有统计学意义(P<0.05)。结论应用腹腔镜手术治疗腹股沟疝具有术中出血少、切口小、术后并发症少等优点,患者易于恢复,安全可靠,值得临床推广。
Objective To compare the clinical effect of laparoscopic surgery for inguinal hernia.Methods A total of 80 patients with inguinal hernia were randomly divided into observation group and control group,with 40 cases in each group.The observation group was treated with laparoscopic surgery,and the control group was treated with traditional open surgery.The related clinical indicators(intraoperative blood loss,postoperative pain time,incision length and hospitalization time)and occurrence of postoperative complications were compared between the two groups.The intraoperative blood loss(7.89±1.93)ml,postoperative pain time(28.16±5.89)h,incision length(1.59±0.86)cm and hospitalization time(6.38±1.34)d of the observation group were all better than(15.32±3.16)ml,(43.98±6.91)h,(3.96±1.28)cm and(8.94±1.26)d of the control group,and the difference was statistically significant(P<0.05).The incidence of postoperative complications 7.5%of the observation group was lower than 25.0%of the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic surgery has the advantages of less intraoperative bleeding,small incision,and fewer postoperative complications in the treatment of inguinal hernia.The patient is easy to recover,and it is safe and reliable.This method is worthy of clinical promotion.
作者
徐志强
尹中宇
礼巍
江洋深
张克忠
XU Zhi-qiang;YIN Zhongyu;LI Wei(Xinhua Hospital Affiliated to Dalian University,Dalian 116622,China)
出处
《中国实用医药》
2021年第4期44-46,共3页
China Practical Medicine
关键词
腹腔镜手术
腹股沟疝
开腹手术
临床效果
Laparoscopic surgery
Inguinal hernia
Open surgery
Clinical effect