成人腹腔镜疝修补术与无张力疝修补术的疗效对比分析

Laparoscopic Versus Open Repair of Groin Hernia: A Retrospectively Analysis

目的回顾性对比分析成人腹腔镜疝修补术及开放式无张力疝修补术疗效情况。方法对2005至2009年沈阳市第四人民医院的97例腹腔镜疝修补术及153例无张力疝修补术进行随访,对比分析两组围手术期并发症、术后恢复活动时间、术后复发率及术后持续性疼痛等情况。结果腹腔镜疝修补术组和无张力疝修补术组在术后复发率、围手术期并发症没有统计学意义,在术后恢复活动时间及术后持续性疼痛发生率方面有统计学意义。结论腹腔镜疝修补比与开放式无张力疝修补术恢复更快,但是对于不同情况,外科医师的临床经验比术式选择更为重要。

Objective Our aim was retrospectively to compare laparoscopic repair with open tension free repair of groin hernia.Methods Between 2005 and 2009 in The Fourth People＇s Hospital,250 patients with groin hernia underwent laparoscopic repair（97 cases） and open tension free hernia repair（153 cases）.Patients were clinically assessed at 1 week and 1 year after surgery,and were sent questionnaires at 3 months and 1 year.complications,return to usual activities of social life,hernia recurrence,groin pain that persisted at 1 year were retrospectively compared between the two groups.Results There was no significant different between the two groups in operative time,but LA had less operative pain,postoperative hospital length of stay,length of the recovery period and incision infection.Conclusion Although laparoscopic hernia repair has advantages for patients,surgeons experience was more important than choice of approach to laparoscopic repair for groin hernias.