腹腔镜全腹膜外腹股沟疝无张力修补术45例疗效分析

Laparoscopic total extraperitoneal inguinal hernia repair:clinical analysis of 45 cases

目的探讨分析腹腔镜全腹膜外腹股沟疝无张力修补术的疗效。方法选取该院2009年1月—2011年1月间收治的腹股沟疝患者90例,在征得患者及家属同意的情况下分为观察组和对照组,每组患者各45例。观察组采用腹腔镜全腹膜外腹股沟疝无张力修补术,对照组采用开放式腹股沟疝无张力修补术。对两组患者的手术成功情况、术后复发情况、术中出血量、术后住院时间进行比较。结果观察组患者手术成功率为100%,术后1例患者复发。对照组患者手术成功率为100%,术后2例患者复发.两组比较,P>0.05无显著性差异,具有可比性;观察组术中出血量、术后住院时间明显优于对照组术中出血量、术后住院时间。两组比较,P<0.05具有显著性差异,有统计学意义。结论腹腔镜全腹膜外腹股沟疝无张力修补术的术中出血量少、术后住院时间短、对患者的创伤小、术后复发率低值得临床推广。

Objective Analysis of laparoscopic total extraperitoneal inguinal hernia tension-free repair effect. Methods Selected in our hospital from January 2009 to January 2011for 90 patients with inguinal hernia, patients and their family members consent were divided into observation group and control group, each group with 45 cases in each.The observation group was treated with laparoscopic total extraperitoneal inguinal hernia tension-free hernioplasty, controls the open tension free inguinal hernia repair. Two groups of patients with successful operation, postoperative recurrence, intraoperative blood loss, postoperative hospital stay were compared. Results The patients in the observation group operation success rate was 100%, 1 cases of postoperative recurrence in patients with.Patients in the control group the success rate of the operation was 100%, 2 cases of postoperative recurrence in patients.Comparison between two groups, there was no significant difference in P〉 0.05, comparable to the observation group; the amount of intraoperative bleeding, postoperative hospital stay was significantly better than the control group, the amount of intraoperative bleeding, postoperative hospital stay. The two groups have significant difference, P〈 0.05, with statistical significance. Conclusion Laparoscopic total extraperitoneal inguinal hernia tension-free repair for less bleeding during operation, postoperative hospitalization time is short, for patients with minor trauma, postoperative recurrence rate in clinic.