中华疝和腹壁外科杂志(电子版)
中華疝和腹壁外科雜誌(電子版)
중화산화복벽외과잡지(전자판)
CHINESE JOURNAL OF HERNIA AND ABDOMINAL WALL SURGERY(ELECTRONIC VERSION)
2015年
4期
323-326
,共4页
疝,腹股沟%腹腔镜%疗效比较研究%3D补片
疝,腹股溝%腹腔鏡%療效比較研究%3D補片
산,복고구%복강경%료효비교연구%3D보편
Hernia,inguinal%Laparoscopes%Comparative effectiveness research%3D mesh
目的:评价分析腹腔镜完全腹膜外疝修补术中聚丙烯3D补片应用的价值。方法将广东省潮州市潮安区人民医院2012年5月至2014年5月收治的58例腹股沟疝患者随机分为对照组和观察组,本组患者均实施腹腔镜完全腹膜外腹股沟疝无钉合修补术,对照组患者补片采用普通补片,观察组患者采用聚丙烯3D补片。观察二组患者治疗效果及并发症发生情况。结果二组患者手术时间、术中出血量比较差异无统计学意义(t=1.59、1.93,P=0.110、0.051);二组患者术后下床活动时间、住院时间以及住院费用明显低于对照组,差异具有统计学意义(t=25.46、9.87、12.65,P=0.000、0.000、0.000),二组患者术后0、12 h和30 d疼痛程度比较,差异无统计学意义(t=0、0、0,P =1.000、1.000、1.000),而术后24、72 h、7、15 d 二组比较,差异有统计学意义( t =25.041、58.872、55.391、38.532,P =0.000、0.000、0.000、0.000),二组患者术后并发症发生率比较,差异无统计学差异(t=0.269,P =0.604)。结论聚丙烯3D补片在腹腔镜完全腹膜外疝修补术中应用具有操作简单,术后恢复快,住院时间短,术后疼痛小等优点,值得临床推广使用。
目的:評價分析腹腔鏡完全腹膜外疝脩補術中聚丙烯3D補片應用的價值。方法將廣東省潮州市潮安區人民醫院2012年5月至2014年5月收治的58例腹股溝疝患者隨機分為對照組和觀察組,本組患者均實施腹腔鏡完全腹膜外腹股溝疝無釘閤脩補術,對照組患者補片採用普通補片,觀察組患者採用聚丙烯3D補片。觀察二組患者治療效果及併髮癥髮生情況。結果二組患者手術時間、術中齣血量比較差異無統計學意義(t=1.59、1.93,P=0.110、0.051);二組患者術後下床活動時間、住院時間以及住院費用明顯低于對照組,差異具有統計學意義(t=25.46、9.87、12.65,P=0.000、0.000、0.000),二組患者術後0、12 h和30 d疼痛程度比較,差異無統計學意義(t=0、0、0,P =1.000、1.000、1.000),而術後24、72 h、7、15 d 二組比較,差異有統計學意義( t =25.041、58.872、55.391、38.532,P =0.000、0.000、0.000、0.000),二組患者術後併髮癥髮生率比較,差異無統計學差異(t=0.269,P =0.604)。結論聚丙烯3D補片在腹腔鏡完全腹膜外疝脩補術中應用具有操作簡單,術後恢複快,住院時間短,術後疼痛小等優點,值得臨床推廣使用。
목적:평개분석복강경완전복막외산수보술중취병희3D보편응용적개치。방법장광동성조주시조안구인민의원2012년5월지2014년5월수치적58례복고구산환자수궤분위대조조화관찰조,본조환자균실시복강경완전복막외복고구산무정합수보술,대조조환자보편채용보통보편,관찰조환자채용취병희3D보편。관찰이조환자치료효과급병발증발생정황。결과이조환자수술시간、술중출혈량비교차이무통계학의의(t=1.59、1.93,P=0.110、0.051);이조환자술후하상활동시간、주원시간이급주원비용명현저우대조조,차이구유통계학의의(t=25.46、9.87、12.65,P=0.000、0.000、0.000),이조환자술후0、12 h화30 d동통정도비교,차이무통계학의의(t=0、0、0,P =1.000、1.000、1.000),이술후24、72 h、7、15 d 이조비교,차이유통계학의의( t =25.041、58.872、55.391、38.532,P =0.000、0.000、0.000、0.000),이조환자술후병발증발생솔비교,차이무통계학차이(t=0.269,P =0.604)。결론취병희3D보편재복강경완전복막외산수보술중응용구유조작간단,술후회복쾌,주원시간단,술후동통소등우점,치득림상추엄사용。
Objective To evaluate and analyze the application value of 3D polypropylene mesh in laparoscopic totally extraperitoneal inguinal hernia repair (TEP).Methods 58 patients with inguinal hernia treated in Chao′an District People′s Hospital were randomly divided into control group and observation group , and TEP were performed without fixation of tackers in these patients , with common flat mesh in the control group, while 3D polypropylene patch in the observation group .The treatment effect and complications of the two groups were observed .Results There were no differences in operation time and intraoperative blood loss between the two groups (t=1.59, 1.93, P=0.110,0.051), while the postoperative activity time, hospital stay and hospitalization costs of the observation group were significantly higher than those of the control group (t=25.46,9.87,12.65,P=0.000,0.000,0.000).There were no differences regarding postoperative pain (in 0,12 hours and 30 days)between the two groups (t=0,0,0,P=1.000,1.000,1.000), while the postoperative pain degrees at 24,72 hours, 7 and 15 days were significantly lower in observation group than those in control group ( t =25.041, 58.872, 55.391, 38.532, P =0.000, 0.000, 0.000, 0.000 ). Furthermore, the complication incidences between the two groups had no statistical difference ( t=0.269, P=0.604).Conclusion The 3D polypropylene mesh in laparoscopic totally extraperitoneal inguinal hernia repair is not only easy to handle , but also shown as quick recovery , short hospitalization and reduced postoperative pain, and so on, as is worthy of clinical promotion .