腹腔镜与开放手术用于乙状结肠造口旁疝修补的临床比较

The clinical comparison of laparoscopic and open surgery in the treatment for patients with sigmoid hernia repair

目的对比分析腹腔镜与开放手术用于乙状结肠造口旁疝修补的临床疗效。方法选取2014年7月至2015年7月我院收治的51例乙状结肠造口旁疝患者进行研究,将51名患者随机分为观察组(n=28)和对照组(n=23),分别采用腹腔镜及开放手术法行乙状结肠造口旁疝修补术。比较两组患者手术相关指标、术后并发症及术后恢复情况。结果观察组术中出血量明显少于对照组(P<0.05),观察组手术时间、疼痛时间及住院时间均短于对照组患者(P<0.05);观察组术后腹痛、腹胀、造口处感染、肠梗阻的发生率明显低于对照组(P<0.05);观察组患者的下床活动时间、进流食时间、肛门排气时间、恢复正常活动时间明显少于对照组(P<0.05)。结论乙状结肠造口旁疝修补术中,腹腔镜术较开放手术相比创伤更小、康复时间短、术后恢复情况更好,值得在临床推广运用。

Objective To observe the clinical effect of laparoscopic and open surgery in the treatment for patients with sigmoid hernia repair. Methods From July 2014 to July 2015, 51 cases of sigmoid colon parastomal hernia patients in our hospital were studied. 51 patients were randomly divided into observation group（n=28） and the control group（n=23）, the observation group was treated with laparoscopic sigmoid colon parastomal hernia repairation, and control group was treated with open surgery. The clinical indexes, postoperative complication,postoperative recovery were compared between the two groups. Results Theobservation group＇ intraoperative bleeding was less than that of control group（P〈0.05）, and the observation group＇ operation time, postoperative pain, hospitalization time were shorter than that of the control group（P〈0.05）; the incidence of abdominal pain,abdominal distension, stoma infection and intestinal obstruction in the observation group were significantly lower than those in the control group（P〈0.05）, the time of getting out of bed, liquid eating time, anal exhausting time, recovery of normal activity time in the observation group was less than that of the control group（P〈0.05）.Conclusion Compared with open surgery, laparoscopic surgery has less trauma, shorter recovery time and better recovery in treatment of sigmoid hernia. It is worth to be widely used in clinical practice.