CAJ | 학술논문

目的?分析腹腔镜疝修补术和疝环填充式无张力疝修补术的临床治疗效果.方法?选取我院2009年3月至2010年12月之间收录治疗的58例腹股沟疝患者随机分为两组,其中A组29例患者主要采取腹腔镜疝修补术进行治疗,B组29例患者主要采取疝环填充式无张力疝修补术进行治疗.结果?B组患者的手术平均时间明显低于A组时间(P<0.05),A组患者住院时间明显低于B组住院时间,差异具有显著性(P<0.05),A组患者的术后疼痛时间也明显低于B组情况,二者比较具有差异性(P<0.05).结论?两种手术都具有创伤小和复发率小的优点,其中疝环填充式无张力疝修补术的手术时间一般较短,操作简单,适合初次出现疝修补的患者.而腹腔镜疝修补术一般治疗时间短,疼痛时间低等,比较适合复发疝和双侧疝以及老年疝的患者.二者各有自己的优缺点,在治疗时需要根据患者的综合情况进行考虑选择.
목적?분석복강경산수보술화산배전충식무장력산수보술적림상치료효과.방법?선취아원2009년3월지2010년12월지간수록치료적58례복고구산환자수궤분위량조,기중A조29례환자주요채취복강경산수보술진행치료,B조29례환자주요채취산배전충식무장력산수보술진행치료.결과?B조환자적수술평균시간명현저우A조시간(P<0.05),A조환자주원시간명현저우B조주원시간,차이구유현저성(P<0.05),A조환자적술후동통시간야명현저우B조정황,이자비교구유차이성(P<0.05).결론?량충수술도구유창상소화복발솔소적우점,기중산배전충식무장력산수보술적수술시간일반교단,조작간단,괄합초차출현산수보적환자.이복강경산수보술일반치료시간단,동통시간저등,비교괄합복발산화쌍측산이급노년산적환자.이자각유자기적우결점,재치료시수요근거환자적종합정황진행고필선택.
Objective?To?discuss?the?effect?of?laparoscopic?hernia?repair?and?plug-mesh?tension-free?hernia?repair.?Methods?Choosed?58?patients?to?divide?into A and B groups from Mar. 2009 to Dec. 2010. A group were treated with laparoscopic hernia repair with 29 cases, and B group were treated with plug-mesh?tension-free?hernia?repair?with?29?cases.?Results The operation time and in-hospital time in B group was less than A group (P?<0.05).?Conclusion?All?these?two?surgery?methods?have?small?wound?and?low?relapse?rate,?and?plug-mesh?tension-free?hernia?repair?surgery?time?is?short?and?easy?operation?and?less?pain?to?suitable?to?relapse?hernia?and?dorsal?recumbency.?We?should?choose?suitable?operation?way?according?to?patients'?comprehensive?situation.