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腹腔镜与开放式无张力疝修补术治疗成人腹股沟疝效果观察 被引量:18

Effect of laparoscopic and open tension-free hernia repair in the treatment of adult inguinal hernia
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摘要 目的 对比腹腔镜疝修补术与开放式无张力疝修补术治疗成人腹股沟疝的临床效果及优缺点.方法 对接受腹腔镜疝修补术(腹腔镜组)48例患者的临床资料与52例接受开放式无张力疝修补术(无张力组)患者的临床资料进行回顾性比较分析.结果 腹腔镜组手术时间、术后疼痛持续时间及术后住院时间短于无张力组(P〈0.05).两组并发症的发生率及复发率比较无显著性差异(P〉0.05).结论 腹腔镜和开放式无张力疝修补术都是腹股沟疝的首选术式,可根据患者的个体差异选择合适的手术方式. Objective To compare the clinical effects,advantages and disadvantages of laparoscopic herniorrhaphy and open ten-sion-free hernia repair in adult inguinal hernia.Methods The clinical data of 48 patients undergoing laparoscopic hernia repair (lap-aroscopic group)and 52 patients who underwent open tension free repair (without tension group)were retrospectively analyzed. Results The operation time,postoperative pain duration and postoperative hospital stay in the laparoscopic group were shorter than those in the tension-free group(P〈0.05).There was no significant difference between the two groups in the incidence of complica-tions and recurrence rate (P〉0.05).Conclusion Laparoscopic and open tension-free hernia repair are the first choice for inguinal hernia,and the appropriate surgical method can be chosen according to the individual differences of the patients.
作者 彭友 杨洪雷
出处 《检验医学与临床》 CAS 2017年第A02期151-153,共3页 Laboratory Medicine and Clinic
关键词 腹腔镜 疝修补术 无张力 腹股沟疝 laparoscope hernia repair tension free inguinal hernia
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