CAJ | 학술논문

目的比较采用生物补片进行腹腔镜与开腹无张力疝修补术治疗腹股沟嵌顿疝的临床效果.方法回顾性分析陕西省人民医院2012年1月至2014年4月间收治的27例腹股沟嵌顿疝患者的临床资料.均为急诊手术,均采用生物补片一期行无张力疝修补术,其中14例行开腹手术,13例行腹腔镜手术.结果腹腔镜组患者手术时间较开腹组明显缩短[(90.8±11.6) min比(130.8±32.5) min,P＜0.01],术后血(清)肿发生率和伤口感染率明显降低[7.7％(1/13)比42.9％(6/14)和0比28.6％(4/14),均P＜0.05],术后肠功能恢复时间和术后住院时间明显缩短[(2.5±0.3)d比(3.8±1.4)d和(6.3±1.8)d比(9.8±3.2)d,均P＜0.01].结论对于急诊嵌顿疝的一期修补,在腹腔镜下应用生物补片行无张力疝修补术较开腹手术优势明显,可缩短手术时间,加快术后肠功能恢复,减少术后并发症发生率.
목적 비교채용생물보편진행복강경여개복무장력산수보술치료복고구감돈산적림상효과.방법 회고성분석합서성인민의원2012년1월지2014년4월간수치적27례복고구감돈산환자적림상자료.균위급진수술,균채용생물보편일기행무장력산수보술,기중14례행개복수술,13례행복강경수술.결과 복강경조환자수술시간교개복조명현축단[(90.8±11.6) min비(130.8±32.5) min,P＜0.01],술후혈(청)종발생솔화상구감염솔명현강저[7.7％(1/13)비42.9％(6/14)화0비28.6％(4/14),균P＜0.05],술후장공능회복시간화술후주원시간명현축단[(2.5±0.3)d비(3.8±1.4)d화(6.3±1.8)d비(9.8±3.2)d,균P＜0.01].결론 대우급진감돈산적일기수보,재복강경하응용생물보편행무장력산수보술교개복수술우세명현,가축단수술시간,가쾌술후장공능회복,감소술후병발증발생솔.
Objective To compare the efficacy of laparoscopic versus open tension-free mesh repair using biologic mesh for inguinal strangulated hernia.Methods Clinical data of 27 patients with inguinal strangulated hernia in the Shanxi Provincial People's Hospital between January 2012 and April 2014 were analyzed retrospectively.All the patients underwent one-stage tension-free repair using biological mesh, including laparoscopic (n=13) and open procedures (n=14).Results As compared with the open group, the laparoscopic group had shorter operative time [(90.8±11.6) min vs.(130.8±32.5) min, P＜0.01], lower rates of hematoma/seroma and wound infection [(7.7％ vs.42.9％) and (0 vs.28.6％) respectively, both P＜0.05], faster recovery of bowel function [(2.5±0.3) d vs.(3.8±1.4) d, P＜0.01], and shorter hospital stay [(6.3±1.8) d vs.(9.8±3.2) d, P＜0.01].The mean follow-up was 5.7 months (ranged from 2 to 12 months), and no recurrence or serious complications occurred.Conclusion Laparoscopic tension-free hernia repair using biological mesh for inguinal strangulated hernia has significant advantage versus open operation.