健康研究
健康研究
건강연구
HEALTH RESEARCH
2014年
4期
395-396,399
,共3页
腹股沟疝%腹腔镜疝修补术%开放无张力疝修补术
腹股溝疝%腹腔鏡疝脩補術%開放無張力疝脩補術
복고구산%복강경산수보술%개방무장력산수보술
inguinal hernia%laparoscopic hernia repair%open tension-free hernia repair
目的：比较腹腔镜疝修补术与开放无张力疝修补术对单侧腹股沟疝的临床疗效。方法单侧腹股沟疝患者80例分为腹腔镜疝修补术（LVHR）组和开放无张力疝修补术（OTFH）组，LVHR组行腹膜外衬片植入术（TEP）， OTFH组行腹膜前间隙无张力修补术，比较两组患者术后一般情况和治疗前后血清炎症介质变化情况。结果LVHR组平均手术时间（63．7±13．2 min）显著长于OTFH组（50．12±14．1 min），平均住院时间显著短于OTFH组（均P＜0．05）；治疗后，两组血清炎症指标WBC、FN、CRP及α1-AT均显著高于治疗前（均P＜0．05）；两组患者均无复发情况发生。结论腹腔镜疝修补术与开放无张力疝修补术均是安全、有效的单侧腹股沟疝治疗方法，临床上，医师可根据实际情况及手术经验选择使用相应的手术方法予以治疗。
目的：比較腹腔鏡疝脩補術與開放無張力疝脩補術對單側腹股溝疝的臨床療效。方法單側腹股溝疝患者80例分為腹腔鏡疝脩補術（LVHR）組和開放無張力疝脩補術（OTFH）組，LVHR組行腹膜外襯片植入術（TEP）， OTFH組行腹膜前間隙無張力脩補術，比較兩組患者術後一般情況和治療前後血清炎癥介質變化情況。結果LVHR組平均手術時間（63．7±13．2 min）顯著長于OTFH組（50．12±14．1 min），平均住院時間顯著短于OTFH組（均P＜0．05）；治療後，兩組血清炎癥指標WBC、FN、CRP及α1-AT均顯著高于治療前（均P＜0．05）；兩組患者均無複髮情況髮生。結論腹腔鏡疝脩補術與開放無張力疝脩補術均是安全、有效的單側腹股溝疝治療方法，臨床上，醫師可根據實際情況及手術經驗選擇使用相應的手術方法予以治療。
목적：비교복강경산수보술여개방무장력산수보술대단측복고구산적림상료효。방법단측복고구산환자80례분위복강경산수보술（LVHR）조화개방무장력산수보술（OTFH）조，LVHR조행복막외츤편식입술（TEP）， OTFH조행복막전간극무장력수보술，비교량조환자술후일반정황화치료전후혈청염증개질변화정황。결과LVHR조평균수술시간（63．7±13．2 min）현저장우OTFH조（50．12±14．1 min），평균주원시간현저단우OTFH조（균P＜0．05）；치료후，량조혈청염증지표WBC、FN、CRP급α1-AT균현저고우치료전（균P＜0．05）；량조환자균무복발정황발생。결론복강경산수보술여개방무장력산수보술균시안전、유효적단측복고구산치료방법，림상상，의사가근거실제정황급수술경험선택사용상응적수술방법여이치료。
Objective To understand the clinical efficacy of laparoscopic hernia repair and that of open tension -free hernia repairintreatingunilateralinguinalhernia.Method 80casesofunilateralinguinalherniaadmittedtoShaoxingHospital during the period between June , 2010 and June , 2013 were divided into two groups , one of which were treated with laparoscopic hernia repair ( henceforth LVHR group ) and the other were treated with open tension-free hernia repair ( henceforth OTFH group ) .The LVHR group peritoneal outer linings implantation ( TEP ) , the gap is no tension before OTFH peritoneal repair group compared postoperative serum inflammatory mediators and general changes before and after treatment.Findings LVHR mean operative time (63.7 ±13.2min) was significantly longer than OTFH group (50.12 ± 14.1min), the average length of stay was significantly shorter than OTFH group (all P<0.05);After treatment , levels of serum inflammatory markers WBC, FN, CRP and 1-AT were significantly higher than before treatment (all P<0.05);two patients had no recurrence occurred .Conclusion Laparoscopic hernia repair and open tension-free hernia repair are safe and effective method of treatment of unilateral inguinal hernia , clinically , the physician may choose to use the appropriate surgical approach to be treated according to the actual situation and surgical experience .
