腹腔镜疝修补术与开放无张力疝修补术的对比研究

Comparative study on laparoscopic and open tension-free hernioplasty

目的:对比腹腔镜疝修补术与常规开放无张力修补术治疗腹股沟疝的临床疗效。方法:回顾分析2005年7月至2010年10月腹腔镜疝修补术及开放式无张力疝修补术的临床资料,其中136例行开放式无张力疝修补术,84例行腹腔镜手术。结果:腹腔镜组术后患者疼痛时间、下床时间、住院时间均优于开放组(P<0.05)。结论:腹腔镜疝修补术具有患者创伤小、疼痛轻、康复快、切口美观等优点,疗效较开放手术好,为腹股沟疝的治疗提供了更好的选择,尤其适合双侧疝、复发疝。

Objective：To compare the therapeutic effect of laparoscopic herniorrhaphy and open tension-free hernioplasty in the treatment of inguinal hernia.Methods：The clinical data of two hundred and twenty patients who underwent these two different inguinal hernia repair operations between Jul.2005 and Oct.2010 were retrospectively reviewed.136 patients underwent open surgery,and 84 patients receivecl laparoscopy.Results：The postoperative pain time,normal activity time,and hospital stay in laparoscopic group were better than those in open group（P〈0.05）.Conclusions：Laparoscopic hernia repair has less trauma,less pain better cosmetic result and quicker recovery than open operation.And it is especially suitable for bilateral and recurrent hernias.