中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2009年
8期
19-21
,共3页
周明德%万德培%陈旭生%牛靖志%赵曦%莫伟锋%陈建良%张子通%钟志辉
週明德%萬德培%陳旭生%牛靖誌%趙晞%莫偉鋒%陳建良%張子通%鐘誌輝
주명덕%만덕배%진욱생%우정지%조희%막위봉%진건량%장자통%종지휘
腹腔镜%疝%腹股沟%腹横筋膜%织网修补法
腹腔鏡%疝%腹股溝%腹橫觔膜%織網脩補法
복강경%산%복고구%복횡근막%직망수보법
Laparoseopes%Hernia,inguinal%Transverse fascia,fishing net method
目的 探讨腹腔镜下腹横筋膜织网修补术治疗Ⅰ、Ⅱ型腹股沟斜疝的可行性.方法 对2004年5月至2008年5月施行腹腔镜下腹横筋膜织网修补术治疗Ⅰ、Ⅱ型腹股沟斜疝的145例患者(腔镜组)与同期施行开放式无张力疝修补术的143例患者(开放组)的临床资料进行回顾性分析.比较两组在手术操作时间、术后恢复活动时间、住院时间、住院费用以及并发症、复发率等方面有无差异.结果 腔镜组在手术操作时间[(14.8±11.5)min]、发现对侧隐匿性斜疝(15例)、术后恢复活动时间[(16.5±14.3)h]、术后镇痛药使用(5例)、术后阴囊水肿(1例)、住院时间[(4.2±1.5)d]方面均明显优于开放组[分别为(37.6±25.4)min、0例、(52.7±12.6)h、13例、14例、(8.4±2.6)d];术后复发率两组比较差异无统计学意义.结论 腹腔镜下腹横筋膜织网修补术治疗Ⅰ、Ⅱ型腹股沟斜疝具有可行性.
目的 探討腹腔鏡下腹橫觔膜織網脩補術治療Ⅰ、Ⅱ型腹股溝斜疝的可行性.方法 對2004年5月至2008年5月施行腹腔鏡下腹橫觔膜織網脩補術治療Ⅰ、Ⅱ型腹股溝斜疝的145例患者(腔鏡組)與同期施行開放式無張力疝脩補術的143例患者(開放組)的臨床資料進行迴顧性分析.比較兩組在手術操作時間、術後恢複活動時間、住院時間、住院費用以及併髮癥、複髮率等方麵有無差異.結果 腔鏡組在手術操作時間[(14.8±11.5)min]、髮現對側隱匿性斜疝(15例)、術後恢複活動時間[(16.5±14.3)h]、術後鎮痛藥使用(5例)、術後陰囊水腫(1例)、住院時間[(4.2±1.5)d]方麵均明顯優于開放組[分彆為(37.6±25.4)min、0例、(52.7±12.6)h、13例、14例、(8.4±2.6)d];術後複髮率兩組比較差異無統計學意義.結論 腹腔鏡下腹橫觔膜織網脩補術治療Ⅰ、Ⅱ型腹股溝斜疝具有可行性.
목적 탐토복강경하복횡근막직망수보술치료Ⅰ、Ⅱ형복고구사산적가행성.방법 대2004년5월지2008년5월시행복강경하복횡근막직망수보술치료Ⅰ、Ⅱ형복고구사산적145례환자(강경조)여동기시행개방식무장력산수보술적143례환자(개방조)적림상자료진행회고성분석.비교량조재수술조작시간、술후회복활동시간、주원시간、주원비용이급병발증、복발솔등방면유무차이.결과 강경조재수술조작시간[(14.8±11.5)min]、발현대측은닉성사산(15례)、술후회복활동시간[(16.5±14.3)h]、술후진통약사용(5례)、술후음낭수종(1례)、주원시간[(4.2±1.5)d]방면균명현우우개방조[분별위(37.6±25.4)min、0례、(52.7±12.6)h、13례、14례、(8.4±2.6)d];술후복발솔량조비교차이무통계학의의.결론 복강경하복횡근막직망수보술치료Ⅰ、Ⅱ형복고구사산구유가행성.
Objective To explore the feasibility of fishing net repairing transverse fascia method for inguinal hernia (type Ⅰ , Ⅱ ) using laparoscopic surgical procedure. Methods A retrospective analysis of clinical data between the method of fishing net repairing transverse fascia surgery for 145 cases of inguinal hernia (typeⅠ,Ⅱ ) using laparoscopic surgical procedure from May 2004 to May 2008 (laparoscopic group) and the method of open repairing surgery 143 cases (open group) at the same period were conducted. The differences in the operative time, rehabilitation activities time, length of stay, cost of hospitalization and 0comphcations, recurrence rate were compared. Results The laparoscopic group was significantly better in the operative time [ ( 14.8 ± 11.5) min ], found hiding oblique hernia ( 15 cases), rehabilitation activities time[ ( 16.5 ± 14.3) h], use of analgesics(5 cases), scrotal edema(1 case), length of stay[ (4.2 ± 1.5) d], than those of the open group [ ( 37.6 ± 25.4) min, 0, (52.7 ± 12.6) h, 13, 14, ( 8.4 ± 2.6 ) d respectively ] ; but the recurrence rate was no significantly different. Conclusion Method of fishing net repairing transverse fascia for inguinal hernia (type Ⅰ , Ⅱ ) using laparoscopie surgical procedure is feasible.
