CAJ | 학술논문

目的：探讨免球囊扩张器免钉合器完全腹膜外腹腔镜腹股沟疝修补术的临床效果。方法选取2012年10月~2013年10月本院就诊的65例腹股沟疝患者，将所有患者随机分为观察组33例和对照组32例。观察组采用免球囊扩张器免钉合器完全腹膜外腹腔镜腹股沟疝修补术治疗，对照组采用传统疝修补术式治疗。观察两者患者的手术时间、术中出血量、开始下床活动时间、正常活动时间、住院时间、并发症等。结果观察组的手术时间、术中出血量、开始下床活动时间、正常活动时间、住院时间均明显优于对照组(P<0.05)，观察组的并发症发生率为15.15%，明显低于对照组的43.75%，两组比较差异有统计学意义(P<0.05)。结论免球囊扩张器免钉合器完全腹膜外腹腔镜腹股沟疝修补术治疗腹股沟疝的临床效果显著，值得临床推广应用。
목적：탐토면구낭확장기면정합기완전복막외복강경복고구산수보술적림상효과。방법선취2012년10월~2013년10월본원취진적65례복고구산환자，장소유환자수궤분위관찰조33례화대조조32례。관찰조채용면구낭확장기면정합기완전복막외복강경복고구산수보술치료，대조조채용전통산수보술식치료。관찰량자환자적수술시간、술중출혈량、개시하상활동시간、정상활동시간、주원시간、병발증등。결과관찰조적수술시간、술중출혈량、개시하상활동시간、정상활동시간、주원시간균명현우우대조조(P<0.05)，관찰조적병발증발생솔위15.15%，명현저우대조조적43.75%，량조비교차이유통계학의의(P<0.05)。결론면구낭확장기면정합기완전복막외복강경복고구산수보술치료복고구산적림상효과현저，치득림상추엄응용。
Objective To explore the clinical effect of free balloon dilator free stapler totally extraperitoneal laparoscop-ic inguinal hernia repair. Methods 65 cases with inguinal hernia in our hospital from October 2012 to October 2013 were all collected and randomly divided into the observation group in 33 cases and control group in 32 case.The obser-vation group was treated free balloon dilator free stapler totally extraperitoneal laparoscopic inguinal hernia repair,the control group was treated with the traditional hernioplasty.The operation time,intraoperative blood loss,began to bed ac-tivity time,normal activity time,length of hospital stay,and complications in two groups were observed. Results The Op-eration time,intraoperative blood loss,began to bed activity time,normal activity time,length of hospital stay in observa-tion group were significantly lower than those of the control group (P<0.05).The incidence of complications in observa-tion group of 15.15%,was obviously lower than the control group (43.75%),the difference of the two groups had statisti cal significance (P<0.05). Conclusion Free balloon dilator free stapler totally extraperitoneal laparoscopic inguinal hernia repair treatment of inguinal hernia has significant clinical effect,it is worthy of clinical popularization and appli-cation.