CAJ | 학술논문

目的探讨腹腔镜腹股沟疝修补术治疗老年男性腹股沟疝的临床效果.方法 86例老年男性腹股沟疝患者随机分为腹腔镜组(40例)及对照组(46例),观察两组患者的住院时间、住院费用、下床活动时间、手术时间等.结果与对照组比较,腹腔镜组患者住院时间、下床活动时间明显缩短,差异有统计学意义(P＜0.01或＜0.05),但手术时间较长、住院费用明显增加,差异有统计学意义(P＜0.05);术后随访2～47个月,两组均无复发病例.结论腹腔镜腹股沟疝修补术治疗老年男性腹股沟疝住院时间短,下床活动时间早,并发症少,伤口疼痛轻.随着腹腔镜技术的进一步提高和腹腔镜器械的不断改进,手术时间将会进一步缩短,费用也将会下降,此术式将成为治疗老年男性腹股沟疝的一种理想术式.
목적 탐토복강경복고구산수보술치료노년남성복고구산적림상효과.방법 86례노년남성복고구산환자수궤분위복강경조(40례)급대조조(46례),관찰량조환자적주원시간、주원비용、하상활동시간、수술시간등.결과 여대조조비교,복강경조환자주원시간、하상활동시간명현축단,차이유통계학의의(P＜0.01혹＜0.05),단수술시간교장、주원비용명현증가,차이유통계학의의(P＜0.05);술후수방2～47개월,량조균무복발병례.결론 복강경복고구산수보술치료노년남성복고구산주원시간단,하상활동시간조,병발증소,상구동통경.수착복강경기술적진일보제고화복강경기계적불단개진,수술시간장회진일보축단,비용야장회하강,차술식장성위치료노년남성복고구산적일충이상술식.
Objective To evaluate the therapeutic effect of laparoscopic hernioplasty for inguinal hernia in aged males.Method Forty cases of inguinal hernia in aged males were treated with laparoscopic hernioplasty(group L),while other 46 cases were treated with traditional inguinal hernioplasty(group S).Results To compare with group S,the time be in hospital and the time leave off the bed were significantly shorter in group L(P＜0.01 or＜0.05),but the mean operation time were longer and the operation expenses Was higher in group L(P＜0.05).Followed up for 2-47 months,there were no recurrence in two groups.Conclusions Laparoscopic hernioplasty for inguinal hernia in aged males can shorten the hospitalization time,quicken postoperative recovery.The comphcation is little and the wound ache is light.Along with the further improvement of laparoseopic technique and the amelioration of laparoscopic instrument.the opera-tion time will further shorten,the expenses also will descend.It will be a ideal way for the therapy of inguinal hernia in aged males.