中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
17期
127-129
,共3页
开放式无张力修补术%腹腔镜腹股沟疝修补术%老年腹股沟疝%疗效
開放式無張力脩補術%腹腔鏡腹股溝疝脩補術%老年腹股溝疝%療效
개방식무장력수보술%복강경복고구산수보술%노년복고구산%료효
Open tension-free hernia repair%Laparoscopic inguinal hernia repair%Elderly inguinal hernia%Curative effect
目的：对比开放式无张力修补术及腹腔镜完全腹膜外补片植入术（TEP）治疗老年腹股沟疝的临床疗效差异。方法：选取2010年5月-2013年5月本院收治的66例老年腹股沟疝患者，随机数字表法分为观察组和对照组，其中观察组33例采用腹腔镜完全腹膜外补片植入术（TEP），对照组33例采用开放式无张力疝修补术，术中记录两组患者手术时间、术中出血量，术后记录两组疼痛持续时间、住院时间、住院费用、并发症的发生情况以及腹股沟疝的复发率，所有试验数据均录入统计学软件进行分析。结果：术中记录两组手术时间分别为（75.43±2.52）min、（58.25±9.31）min，术中出血分别为（1.51±0.98）mL、（10.53±9.92）mL，观察组手术时间较对照组略长，而术中出血量低于对照组，两指标比较差异均有统计学意义（P<0.05）。观察组术后疼痛时间为（0.95±0.48）d、住院时间为（4.52±1.16）d，对照组术后疼痛时间为（1.86±0.75）d，住院时间为（7.96±1.58）d，观察组疼痛时间及住院时间均低于对照组，差异均有统计学意义（P<0.05）；观察组住院费为（7898.5±95.3）元，对照组住院费用为（5383.4±68.1）元，观察组略高于对照组，差异有统计学意义（t=123.3502，P=0.0000）。观察组术后并发症发生率为3.03%，对照组并发症发生率为9.09%，两组比较差异有统计学意义（P<0.05）；观察组术后无复发，对照组有1例（3.03%）复发再次行手术治疗，两组复发率比较差异无统计学意义（P>0.05）。结论：腹腔镜完全腹膜外补片植入术（TEP）具有术中出血量少、住院时间短、疼痛轻微的优点，明显优于开放式无张力疝修补术，值得在临床上予以推广。
目的：對比開放式無張力脩補術及腹腔鏡完全腹膜外補片植入術（TEP）治療老年腹股溝疝的臨床療效差異。方法：選取2010年5月-2013年5月本院收治的66例老年腹股溝疝患者，隨機數字錶法分為觀察組和對照組，其中觀察組33例採用腹腔鏡完全腹膜外補片植入術（TEP），對照組33例採用開放式無張力疝脩補術，術中記錄兩組患者手術時間、術中齣血量，術後記錄兩組疼痛持續時間、住院時間、住院費用、併髮癥的髮生情況以及腹股溝疝的複髮率，所有試驗數據均錄入統計學軟件進行分析。結果：術中記錄兩組手術時間分彆為（75.43±2.52）min、（58.25±9.31）min，術中齣血分彆為（1.51±0.98）mL、（10.53±9.92）mL，觀察組手術時間較對照組略長，而術中齣血量低于對照組，兩指標比較差異均有統計學意義（P<0.05）。觀察組術後疼痛時間為（0.95±0.48）d、住院時間為（4.52±1.16）d，對照組術後疼痛時間為（1.86±0.75）d，住院時間為（7.96±1.58）d，觀察組疼痛時間及住院時間均低于對照組，差異均有統計學意義（P<0.05）；觀察組住院費為（7898.5±95.3）元，對照組住院費用為（5383.4±68.1）元，觀察組略高于對照組，差異有統計學意義（t=123.3502，P=0.0000）。觀察組術後併髮癥髮生率為3.03%，對照組併髮癥髮生率為9.09%，兩組比較差異有統計學意義（P<0.05）；觀察組術後無複髮，對照組有1例（3.03%）複髮再次行手術治療，兩組複髮率比較差異無統計學意義（P>0.05）。結論：腹腔鏡完全腹膜外補片植入術（TEP）具有術中齣血量少、住院時間短、疼痛輕微的優點，明顯優于開放式無張力疝脩補術，值得在臨床上予以推廣。
목적：대비개방식무장력수보술급복강경완전복막외보편식입술（TEP）치료노년복고구산적림상료효차이。방법：선취2010년5월-2013년5월본원수치적66례노년복고구산환자，수궤수자표법분위관찰조화대조조，기중관찰조33례채용복강경완전복막외보편식입술（TEP），대조조33례채용개방식무장력산수보술，술중기록량조환자수술시간、술중출혈량，술후기록량조동통지속시간、주원시간、주원비용、병발증적발생정황이급복고구산적복발솔，소유시험수거균록입통계학연건진행분석。결과：술중기록량조수술시간분별위（75.43±2.52）min、（58.25±9.31）min，술중출혈분별위（1.51±0.98）mL、（10.53±9.92）mL，관찰조수술시간교대조조략장，이술중출혈량저우대조조，량지표비교차이균유통계학의의（P<0.05）。관찰조술후동통시간위（0.95±0.48）d、주원시간위（4.52±1.16）d，대조조술후동통시간위（1.86±0.75）d，주원시간위（7.96±1.58）d，관찰조동통시간급주원시간균저우대조조，차이균유통계학의의（P<0.05）；관찰조주원비위（7898.5±95.3）원，대조조주원비용위（5383.4±68.1）원，관찰조략고우대조조，차이유통계학의의（t=123.3502，P=0.0000）。관찰조술후병발증발생솔위3.03%，대조조병발증발생솔위9.09%，량조비교차이유통계학의의（P<0.05）；관찰조술후무복발，대조조유1례（3.03%）복발재차행수술치료，량조복발솔비교차이무통계학의의（P>0.05）。결론：복강경완전복막외보편식입술（TEP）구유술중출혈량소、주원시간단、동통경미적우점，명현우우개방식무장력산수보술，치득재림상상여이추엄。
Objective:To compare the clinical curative effect of open tension-free hernia repair and laparoscopic totally extraperitoneal (TEP) in treatment of elderly inguinal hernia.Method:66 elderly patients with inguinal hernia from May 2010 to May 2013 year in our hospital were selected,they were randomly divided into observation group and control group,33 cases of observation group were treated with laparoscopic hernia repair,33 cases of the control group use open tension-free hernia repair,amount of bleeding during the operation time,two groups of patients recorded intraoperative,postoperative pain duration record of two groups,time,cost of hospitalization,complications and inguinal hernia recurrence rate in hospital,all the test data were input statistical software for analysis.Result:The intraoperative bleeding volume in observation group was significantly lower than that of the control group,compared with significant difference (P<0.05),but the observation group compared with the control group,operation time was slightly longer,there are differences statistically significant (P<0.05); postoperative pain,hospitalization time of observation group were lower than the control group,there were differences statistical significance (P<0.05),the observation group hospitalization cost was higher than the control group,compared the difference was statistically significant (t=123.3502,P=0.0000); the two groups the incidence of complications compared with statistical difference (P<0.05), compared with no much difference recurrence rate.Conclusion:Laparoscopic totally extraperitoneal (TEP) has less bleeding, hospitalization time is short,the advantages of minor aches and pains,significantly better than open tension-free hernia repair, it is worth to be popularized in clinic.
