CAJ | 학술논문

目的：评价腹腔镜下完全腹膜外疝修补术的临床疗效。方法：选取2011-03～2013-09间我院收治的腹股沟疝患者71例，随机分为两组，其中观察组36例，使用腹腔镜下完全腹膜外疝修补术进行治疗，对照组35例，使用无张力疝修补术进行治疗，比较两组患者手术时间、术后下床活动时间、术后疼痛持续时间、总住院时间、并发症发生率与复发例数。结果：观察组术后各项指标均明显优于对照组，两组患者比较差异有统计学意义（P＜0．05）；两组患者在随访期间均无复发情况，比较差异无统计学意义（P＞0．05）。结论：腹腔镜下完全腹膜外疝修补术临床疗效好，术后疼痛时间与总住院时间短，且能较早下床活动，减轻了患者痛苦，无复发情况，值得在临床上推广。
목적：평개복강경하완전복막외산수보술적림상료효。방법：선취2011-03～2013-09간아원수치적복고구산환자71례，수궤분위량조，기중관찰조36례，사용복강경하완전복막외산수보술진행치료，대조조35례，사용무장력산수보술진행치료，비교량조환자수술시간、술후하상활동시간、술후동통지속시간、총주원시간、병발증발생솔여복발례수。결과：관찰조술후각항지표균명현우우대조조，량조환자비교차이유통계학의의（P＜0．05）；량조환자재수방기간균무복발정황，비교차이무통계학의의（P＞0．05）。결론：복강경하완전복막외산수보술림상료효호，술후동통시간여총주원시간단，차능교조하상활동，감경료환자통고，무복발정황，치득재림상상추엄。
Objective:Under evaluation of laparoscopic totally extraperitoneal hernia repair clinical efficacy .Methods:Inguinal her-nia patients in March 2011-September 2013 in our hospital 71 cases were randomly divided into two groups , one group of 36 patients was observed under the use of laparoscopic totally extraperitoneal hernia repair treatment and the control group 35 cases treated with tension-free hernia repair .Two groups were compared operative time , postoperative ambulation time , postoperative pain duration , total hospital stay, incidence of complications and recurrence of the number of cases .Results:The postoperative indicators are significantly better than the control group , the difference between the two groups was statistically significant (P <0.05);groups of patients had no recurrence during follow -up, the difference was not statistically significant (P >0.05).Conclusions:Laparoscopic totally extraper-itoneal hernia repair surgery good clinical efficacy , time and total postoperative pain , shorter hospital stay , and can get out of bed earli-er, reducing pain and no recurrence ,which deserves to be orrlied in clinical practice .