免钉合器腹腔镜下经腹腔腹膜前法腹股沟疝修补术的临床研究

发布时间：2018-04-15 11:28

本文选题：免钉合器 + 腹腔镜　；参考：《实用医学杂志》2017年13期

【摘要】：目的研究免钉合器腹腔镜下经腹腔腹膜前法腹股沟疝修补术的临床效果。方法选取2015年2月至2017年1月腹股沟疝患者80例,按随机数字表法分为2组,每组40例患者。对照组采用传统的腹腔镜下经腹腔腹膜前法腹股沟疝修补术治疗;免钉合器组接受免钉合器腹腔镜下经腹腔腹膜前法腹股沟疝修补术治疗。就2组患者手术时间、手术过程中出血总量、手术后平均住院时间、住院的总费用、术后疼痛评分、术后恢复活动的时间和患者满意度、术后手术区积液、阴囊血肿等并发症发生率进行比较。结果免钉合器组患者满意度明显高于对照组,(P0.05)。免钉合器组术后手术区积液、阴囊血肿等并发症发生率明显低于对照组(P0.05)。免钉合器组患者住院的总费用、术后疼痛评分、术后恢复活动的时间均明显优于对照组(P0.05)。免钉合器组患者手术时间、手术过程出血总量、手术后平均住院时间两组对比差异不具有统计学意义(P0.05)。结论传统的腹腔镜下经腹腔腹膜前法腹股沟疝修补术和免钉合器腹腔镜下经腹腔腹膜前法腹股沟疝修补术的手术时间及手术出血量等均相似,但免钉合器腹腔镜下经腹腔腹膜前法腹股沟疝修补术的临床应用效果确切,并发症少,疼痛轻,术后恢复快,可减少治疗费用,且美容效果满意,患者接受度高,值得推广。
[Abstract]:Objective to study the clinical effect of laparoscopic retroperitoneal inguinal hernia repair.Methods 80 patients with inguinal hernia from February 2015 to January 2017 were randomly divided into 2 groups with 40 patients in each group.The control group was treated with traditional laparoscopic preperitoneal hernioplasty, and the nail-free group was treated with laparoscopic preperitoneal inguinal hernia repair.The time of operation, the total amount of bleeding during operation, the average hospitalization time after operation, the total cost of hospitalization, the postoperative pain score, the time of postoperative recovery of activity and the patient's satisfaction, the postoperative fluid accumulation in the operation area were analyzed.The incidence of scrotal hematoma and other complications was compared.Results the patients' satisfaction in the nail-free group was significantly higher than that in the control group (P 0.05).The incidence of postoperative effusion and scrotal hematoma in the nail free group was significantly lower than that in the control group (P 0.05).The total cost of hospitalization, postoperative pain score and recovery time of the patients in the nail-free group were significantly better than those in the control group (P 0.05).There was no significant difference between the two groups in the time of operation, the total amount of bleeding during operation and the average hospitalization time after operation in the nail-free group (P 0.05).Conclusion the operative time and blood loss of the traditional laparoscopic preperitoneal inguinal hernioplasty and the laparoscopic preperitoneal herniorrhaphy are similar.But the effect of laparoscopic laparoscopic inguinal herniorrhaphy via celiac preperitoneal herniorrhaphy with less complications, less pain, quick recovery after operation, less cost of treatment, satisfactory cosmetic effect and high acceptance of patients are worth popularizing.
【作者单位】：广东省深圳市光明新区中心医院;广东省茂名市中医院;
【分类号】：R656.21

【参考文献】