腹腔镜与开放式无张力疝修补的比较研究

Comparative study on laparoscopic and open tension-free herniorrhapy

目的:比较研究开放式和腹腔镜无张力腹股沟疝修补在临床应用中的价值。方法:108例腹股沟疝随机分为两组,分别进行腹腔镜(TAPP 31例,TEP 10例)和开放式(Rutkow法54例,Lichtersten法13例)修补,随访6个月～3年,比较两组的手术时间、镇痛泵使用、住院天数、恢复正常活动时间、并发症发生率,住院费用及复发率。结果:镇痛泵使用、住院天数、恢复正常活动时间腹腔镜组明显优于开放手术组(P<0.05),手术时间和住院费用开放手术组优于腹腔镜组,并发症发生率和复发率两组相比差异无统计学意义。结论:腹腔镜组患者的手术体验明显优于开放手术组,只要严格执行疝修补技术规范,两种无张力修补方法均可取得满意疗效。

Objective： To compane the value of Laparoscopic and Open Tension-free Herniorrhapy. Methods： 108 cases suffered from adult inguinal hernia were divided into two groups randmely,67 cases were repaired with open tension-free herniorrhaphy ,41 cases were laparoscopy, the follow-up period was 6 months to 5 years. The vital points were operation time, frequency of analgesic use, duration in hospital and normal activity time, complication, price in hospital ,recurrence rate. Results： The using of analgesic frequency, duration in hospital and normal activity time in laparoscopy were more advantage than those in open herniorrhapy, the operation time and the price in hospital were better in opening operation group than those in laparoscopy group. There was no significant difference in complication and recurrence rate between the two groups. Conclusion： The experience to operation in laparoscopy group was significant advantage than the group of opening operation, the two methods of tension-free herniorrhapy had the same curative effect if the technical standard was strictly performed.