腹腔镜疝修补术与传统疝修补术治疗复发疝临床疗效比较

Comparison of clinical effects of laparoscopic hernia repair and conventional hernia repair in treatment of recurrent hernia

目的探讨腹腔镜疝修补术与传统疝修补术治疗复发疝的临床疗效差异。方法应用随机数字表法将2007年11月至2010年11月在郑州市第三人民医院住院治疗的86例复发疝患者分成观察组和对照组,对照组患者进行传统疝修补术治疗,观察组则进行腹腔镜疝修补术治疗,比较2组患者的临床疗效、并发症、患者满意率及愈后随访1年的复发率。结果观察组患者在术中出血量、手术时间及住院时间等方面明显低于或者少于对照组患者(P<0.05),而观察组患者在住院治疗费用上明显高于对照组患者,差异有统计学意义(P<0.05);观察组患者在并发症的发生率上明显低于对照组患者(P<0.05),观察组在患者满意度上观察组患者明显高于对照组患者,差异有统计学意义(P<0.05),而在观察组患者复发疝再次复发的例数多于对照组,但差异无统计学意义(P>0.05)。结论腹腔镜疝修补术是一种简单、手术时间短及痛苦小且可靠的手术,患者满意度高,值得在临床推广应用。

Objective To compare the effect of the laparoscopic hernia repair and conventional hernia repair in treatment of recurrent hernia. Methods Random number table from November 2007 to November 2010 in our hospital ,86 patients with recurrent hernia patients were divided into observation group and control group, control group patients with tradition- al hernia repair treatment, observation group with laparoscopic hernia repair treatment, two groups were compared of clirl- ical efficacy, complications, patient satisfaction rate and more follow - up after 1 year recurrence rate. The results ob-served in the patients＇ blood loss, operation time and hospital stay less than those of the control group （P 〈 0. 05 ）, while patients in the observation group was significantly higher on the cost of hospital treatment, the difference was statistically significant （ P 〈 0. 05 ） ; In observation group the incidence of complications was significantly lower than that of control group patients （P 〈 O. 05）, the observation group in patient satisfaction was significantly higher than that of the control group, the difference was statistically significant （P 〈 0. 05 ）, in the observation group the number of patients with recur- rent hernia was more than that of the control group, but the difference was no statistically significant （P 〉 0. 05 ）. Con- clusions Laparoscopic hernia repair is a simple,short operative time and less pain and reliable operation,the patients＇ satisfaction is high, worthy of clinical application.