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腹腔镜下完全腹膜外疝修补术与无张力疝修补术疗效对比 被引量:5

TOTALLY EXTRAPERITONEAL LAPAROSCOPIC HERNIA REPAIR AND TENSION-FREE HERNIA REPAIR SURGERY EFFICACY COMPARISON
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摘要 目的:评价腹腔镜下完全腹膜外疝修补术的临床疗效。方法:选取2011-03~2013-09间我院收治的腹股沟疝患者71例,随机分为两组,其中观察组36例,使用腹腔镜下完全腹膜外疝修补术进行治疗,对照组35例,使用无张力疝修补术进行治疗,比较两组患者手术时间、术后下床活动时间、术后疼痛持续时间、总住院时间、并发症发生率与复发例数。结果:观察组术后各项指标均明显优于对照组,两组患者比较差异有统计学意义(P<0.05);两组患者在随访期间均无复发情况,比较差异无统计学意义(P>0.05)。结论:腹腔镜下完全腹膜外疝修补术临床疗效好,术后疼痛时间与总住院时间短,且能较早下床活动,减轻了患者痛苦,无复发情况,值得在临床上推广。 Objective:Under evaluation of laparoscopic totally extraperitoneal hernia repair clinical efficacy .Methods:Inguinal her-nia patients in March 2011-September 2013 in our hospital 71 cases were randomly divided into two groups , one group of 36 patients was observed under the use of laparoscopic totally extraperitoneal hernia repair treatment and the control group 35 cases treated with tension-free hernia repair .Two groups were compared operative time , postoperative ambulation time , postoperative pain duration , total hospital stay, incidence of complications and recurrence of the number of cases .Results:The postoperative indicators are significantly better than the control group , the difference between the two groups was statistically significant (P 〈0.05);groups of patients had no recurrence during follow -up, the difference was not statistically significant (P 〉0.05).Conclusions:Laparoscopic totally extraper-itoneal hernia repair surgery good clinical efficacy , time and total postoperative pain , shorter hospital stay , and can get out of bed earli-er, reducing pain and no recurrence ,which deserves to be orrlied in clinical practice .
出处 《牡丹江医学院学报》 2014年第3期17-19,共3页 Journal of Mudanjiang Medical University
关键词 疝修补术 腹股沟疝 疗效 hernia repair inguinal hernia efficacy
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