腹腔镜疝修补术与无张力疝修补术的对比观察
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摘要
目的观察对比成人腹腔镜疝修补术与无张力疝修补术的临床效果。方法选取2014年3月—2017年3月在我院接受治疗的腹股沟疝患者60例作为研究对象,将其随机分为观察组和对照组,每组各30例。观察组患者采用腹腔镜疝修补术,对照组患者采用无张力疝修补术,对比两组患者临床疗效、手术相关指标以及并发症发生情况。结果观察组患者的手术满意度为96.67%,对照组患者手术满意度为76.67%,观察组患者的满意度高于对照组,差异具有统计学意义(P <0.05)。观察组并发症发生率为13.33%,对照组并发症发生率为26.67%,观察组并发症发生率低于对照组,差异具有统计学意义(P<0.05)。结论针对成人腹股沟疝采用腹腔镜疝修补术进行治疗,能够取得良好效果,有助于缩短患者术后疼痛时间和住院时间,同时还可以有效降低各种并发症的发生率,提高患者的治疗满意度。
Objective To observe the clinical effects of laparoscopic hernia repair and tension-free hernia repair. Methods 60 patients with inguinal hernia treated in our hospital from March 2014 to March 2017 were selected as the study subjects. They were randomly divided into observation group and control group, 30 cases in each group. The observation group was treated with laparoscopic hernioplasty. The control group was treated with tension-free hernioplasty. The clinical efficacy, surgical related indicators and complications of the two groups were compared. Results The surgical satisfaction of patients in the observation group was 96.67%, and that of patients in the control group was 76.67%. The satisfaction of patients in the observation group was higher than that of the control group, and the difference was statistically significant(P < 0.05). The incidence of complications was 13.33% in the observation group and 26.67% in the control group. The incidence of complications in the observation group was lower than that in the control group, with statistical significance(P < 0.05). Conclusion Laparoscopic hernioplasty for adult inguinal hernia can achieve good results, help to shorten the pain time and hospitalization time of patients after operation, but also can effectively reduce the incidence of various complications, improve the treatment satisfaction of patients.
Objective To observe the clinical effects of laparoscopic hernia repair and tension-free hernia repair. Methods 60 patients with inguinal hernia treated in our hospital from March 2014 to March 2017 were selected as the study subjects. They were randomly divided into observation group and control group, 30 cases in each group. The observation group was treated with laparoscopic hernioplasty. The control group was treated with tension-free hernioplasty. The clinical efficacy, surgical related indicators and complications of the two groups were compared. Results The surgical satisfaction of patients in the observation group was 96.67%, and that of patients in the control group was 76.67%. The satisfaction of patients in the observation group was higher than that of the control group, and the difference was statistically significant(P < 0.05). The incidence of complications was 13.33% in the observation group and 26.67% in the control group. The incidence of complications in the observation group was lower than that in the control group, with statistical significance(P < 0.05). Conclusion Laparoscopic hernioplasty for adult inguinal hernia can achieve good results, help to shorten the pain time and hospitalization time of patients after operation, but also can effectively reduce the incidence of various complications, improve the treatment satisfaction of patients.
引文
[1]蒋昊,吴万飞.传统疝修补术与无张力疝修补术治疗腹股沟疝的临床对比研究[J].新疆医学,2018,48(4):427-429.
[2]牛锦全.经腹腹膜前腹腔镜腹股沟疝修补术与无张力疝修补术的对比研究[J].临床医学研究与实践,2018,3(3):60-61,64.
[3]党铁成.腹腔镜疝修补术治疗成人腹股沟疝效果分析[J].河南外科学杂志,2017,23(4):81-82.
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[5]原艳丽,孙忠源.腹腔镜疝修补术与无张力疝修补术治疗患儿腹股沟嵌顿疝的临床研究[J].中国医学工程,2016,24(4):22-24.
[6]许斌.腹腔镜疝修补术与开放式无张力疝修补术治疗成人腹股沟疝的临床疗效比较观察[J].中国实用医药,2016,11(1):88-89.
[7]莫春林.传统腹股沟疝修补术、疝环充填式无张力疝修补术及腹腔镜疝修补术的临床比较[J].深圳中西医结合杂志,2015,25(22):26-28,199.
[8]贺家勇,杨晨晨,李义亮,等.腹腔镜下腹股沟疝前间隙修补术、无张力疝修补术与传统疝修补术临床疗效比较[J].新疆医科大学学报,2015,38(9):1146-1150,1154.
[9]付月云,王红旭,陈志权,等.完全腹膜外腹腔镜下疝修补术与无张力疝修补术疗效比较[J].中国现代医药杂志,2015,17(5):53-55.
[10]赵健,郭天康.腹腔镜与开放式无张力疝修补术治疗成人复发性腹股沟疝疗效Meta分析[J].中国实用外科杂志,2015,35(1):86-93.
[11]陈旭生,莫伟锋,钟志辉.腹腔镜下完全腹膜外疝修补术与无张力疝修补术疗效对比[J].牡丹江医学院学报,2014,35(3):17-19.
[12]张相成. Meta分析方法系统性分析腹腔镜疝修补术与无张力疝修补术的疗效[J].中国实用医药,2014,9(5):68-69.
[2]牛锦全.经腹腹膜前腹腔镜腹股沟疝修补术与无张力疝修补术的对比研究[J].临床医学研究与实践,2018,3(3):60-61,64.
[3]党铁成.腹腔镜疝修补术治疗成人腹股沟疝效果分析[J].河南外科学杂志,2017,23(4):81-82.
[4]潘志诚,吴佩.腹腔镜腹膜前疝修补术与无张力疝修补术的比较[J].皖南医学院学报,2017,36(2):134-137.
[5]原艳丽,孙忠源.腹腔镜疝修补术与无张力疝修补术治疗患儿腹股沟嵌顿疝的临床研究[J].中国医学工程,2016,24(4):22-24.
[6]许斌.腹腔镜疝修补术与开放式无张力疝修补术治疗成人腹股沟疝的临床疗效比较观察[J].中国实用医药,2016,11(1):88-89.
[7]莫春林.传统腹股沟疝修补术、疝环充填式无张力疝修补术及腹腔镜疝修补术的临床比较[J].深圳中西医结合杂志,2015,25(22):26-28,199.
[8]贺家勇,杨晨晨,李义亮,等.腹腔镜下腹股沟疝前间隙修补术、无张力疝修补术与传统疝修补术临床疗效比较[J].新疆医科大学学报,2015,38(9):1146-1150,1154.
[9]付月云,王红旭,陈志权,等.完全腹膜外腹腔镜下疝修补术与无张力疝修补术疗效比较[J].中国现代医药杂志,2015,17(5):53-55.
[10]赵健,郭天康.腹腔镜与开放式无张力疝修补术治疗成人复发性腹股沟疝疗效Meta分析[J].中国实用外科杂志,2015,35(1):86-93.
[11]陈旭生,莫伟锋,钟志辉.腹腔镜下完全腹膜外疝修补术与无张力疝修补术疗效对比[J].牡丹江医学院学报,2014,35(3):17-19.
[12]张相成. Meta分析方法系统性分析腹腔镜疝修补术与无张力疝修补术的疗效[J].中国实用医药,2014,9(5):68-69.