CAJ | 학술논문

目的：比较腹腔镜腹股沟疝修补与开放性腹股沟疝修补的优缺点。方法对2012年5月～2013年5月中山市中医院240例成人腹股沟疝修补术进行回顾性分析，其中开放性疝修补术（开腹疝修补组）148例，腹腔镜疝修补术（腔镜疝修补组）92例。收集两组患者的手术时间、住院时间、住院费用、术后复发、术后慢性疼痛、术后阴囊积液及术后感染的临床资料并进行比较。结果开腹疝修补组患者在平均手术时间、平均住院费用少于腔镜疝修补（P 均＜0．01）；开腹疝修补组术后复发（3例）、术后慢性疼痛（11例）、术后阴囊积液（2例）及术后感染（1例）等总并发症高于腔镜疝修补组（P＜0．05）；两组的平均住院时间差异无统计学意义。结论腔镜组腹股沟疝修补术具有较少的术后并发症，但在住院时间、住院费用方面没有优势。
목적：비교복강경복고구산수보여개방성복고구산수보적우결점。방법대2012년5월～2013년5월중산시중의원240례성인복고구산수보술진행회고성분석，기중개방성산수보술（개복산수보조）148례，복강경산수보술（강경산수보조）92례。수집량조환자적수술시간、주원시간、주원비용、술후복발、술후만성동통、술후음낭적액급술후감염적림상자료병진행비교。결과개복산수보조환자재평균수술시간、평균주원비용소우강경산수보（P 균＜0．01）；개복산수보조술후복발（3례）、술후만성동통（11례）、술후음낭적액（2례）급술후감염（1례）등총병발증고우강경산수보조（P＜0．05）；량조적평균주원시간차이무통계학의의。결론강경조복고구산수보술구유교소적술후병발증，단재주원시간、주원비용방면몰유우세。
Objective To compare the efficacy between laparoscopic inguinal hernia repair and open inguinal hernia repair. Methods From May 2012 to May 2013, 240 cases of adult inguinal hernia repair were retrospectively analyzed. Of 240 cases ,148 cases underwent open herniorrhaphy (open group), 92 underwent laparoscopic herniorrhaphy (laparoscope group). The clinical parameters of two groups were recorded and analyzed,including operation time,.length of hospital stay, hospital expenses,. postoperative recurrence,.postoperative chronic pain,.postoperative scrotal hydrops and postoperative infection. Results The average operation time and hospitalization expenses for open group was 62.9± 9.8 min and 8420±2481 yuan,.lower than that laparoscopic group (76.2±9.4 min and 12468±33858 yuan,P<0.01). However, postoperative complications in open group were including recurrence (3 cases), chronic postoperative pain(11 cases), postoperative scrotal hydrops (2 cases), postoperative infection (1 case) were higher than that in laparoscopic group (P<0.05). No difference was found in hospital stay between two groups. Conclusion Laparoscopic hernia repair has less postoperative complications,.shorter hospitalization time,.but has more hospital expenses.