CAJ | 학술논문

目的：探讨腹腔镜辅助下腹股沟疝无张力修补术的临床应用的可行性和治疗效果。方法：收集我院接收治疗的腹股沟疝患者共80例，其中35例采用开放式腹股沟疝无张力修补手术，为对照组；其余45例采用腹腔镜辅助下腹股沟疝无张力修补术，为观察组，对比两组的手术效果、术中患者的出血量、住院时间以及复发率。结果：两组手术均成功实施，术后随访观察组1例复发，对照组2例复发，P ＞0．05表示差异无统计学意义；观察组手术出血量比对照组少（P ＜0．05），观察组住院时间比对照组短（P ＜0．05）。结论：腹腔镜辅助下腹股沟疝无张力修补术治疗腹股沟斜疝具有患者的创口小、出血量少、住院时间短且复发率低等优点，值得推广和应用。
목적：탐토복강경보조하복고구산무장력수보술적림상응용적가행성화치료효과。방법：수집아원접수치료적복고구산환자공80례，기중35례채용개방식복고구산무장력수보수술，위대조조；기여45례채용복강경보조하복고구산무장력수보술，위관찰조，대비량조적수술효과、술중환자적출혈량、주원시간이급복발솔。결과：량조수술균성공실시，술후수방관찰조1례복발，대조조2례복발，P ＞0．05표시차이무통계학의의；관찰조수술출혈량비대조조소（P ＜0．05），관찰조주원시간비대조조단（P ＜0．05）。결론：복강경보조하복고구산무장력수보술치료복고구사산구유환자적창구소、출혈량소、주원시간단차복발솔저등우점，치득추엄화응용。
abstract Under laparoscopic assisted surgical repair of inguinal hernia without tension of the feasibility of clinical application and therapeutic effect.Meth-ods:to collect the hospital receiving treatment,a total of 80 patients with inguinal hernia,in which 35 cases with open inguinal hernia without tension repair sur-gery,as the control group;The rest of the 45 patients with laparoscopic assisted surgical repair of inguinal hernia without tension,as the observation group,com-pared two groups of operation effect,intraoperative blood loss,hospital stay,and the recurrence rate of patients.Results:two groups are performed successfully, 1 case of recurrence and postoperative follow -up group,control group 2 cases of recurrence,there was no statistically significant difference P >0.05;To ob-serve the operative blood loss less than the control group (P <0.05),the observation group hospitalization time shorter than the control group (P <0.05). Conclusion:laparoscopic assisted surgical repair of inguinal hernia without tension in the treatment of patients with inguinal hernia with small wound,less blood loss,shorter hospitalization time and lower recurrence rate,worthy of popularization and application.