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腹腔镜与开放式手术治疗腹股沟疝对比研究 被引量:4

OPEN VERSUS LAPAROSCOPIC INGUINAL HERNIA REPAIR:A COMPARATIVE STUDY
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摘要 目的对比观察腹腔镜腹股沟疝修补(LIHR)手术与开放式无张力疝修补术治疗腹股沟疝的效果。方法将64例腹股沟疝病人分为LIHR手术组和开放式手术组,每组32例。收集两组围手术期资料进行比较分析。结果LIHR手术组的手术时间、术中失血量、疼痛评分、术后体温增加、住院时间及恢复正常活动时间均小于开放式手术组(t=2.226~10.848,P〈0.05),而两组间并发症发生率差异无显著性(χ^2—0.309,P〉0.05)。两组病例均未见复发。结论LIHR手术安全可行,与开放式手术相比具有手术创伤小、手术后恢复快等优点。 Objective To compare the clinical outcomes between laparoscopic inguinal hernia repair (LIHR) and tensionfree open mesh inguinal hernia repair. Methods Sixty-four patients with inguinal hernia were equally divided into LIHR and open mesh repair groups. Perioperative data were collected and analyzed. Results The duration of operation, the amount of blood loss, the score of postoperative pain, fever, hospital stay, and the time of complete recovery were significantly less for LIHR than open surgery (t= 2. 226-10. 848, P〈0.05). The difference of the incidence of complications between the two groups were not significant (χ^2=0. 309,P〉0.05). No recurrence was recorded in both groups. Conclusion Laparoscopic inguinal hernia repair is safe and feasible with the advantages of minimal operation wound and fast postoperative recovery.
出处 《齐鲁医学杂志》 2010年第2期151-152,155,共3页 Medical Journal of Qilu
关键词 腹股沟 腹腔镜检查 外科手术 hernia, inguinal laparoscopy surgery
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参考文献7

  • 1GER R, MONROE K, DUVIVIER R, et al. Management of indirect inguinal hernias by laparoscopie closure of the neck of the sac[J]. Am J Surg, 1990,159 (4):370-373.
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