腹膜外腹腔镜疝气修补术治疗老年腹股沟疝的疗效观察
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摘要
目的探讨腹膜外腹腔镜疝气修补术治疗老年腹股沟疝的临床疗效。方法将2015年4月~2017年4月在本院接受治疗的老年腹股沟疝患者50例作为研究对象,随机分为两组,各25例,观察组为腹膜外腹腔镜疝气修补术治疗,对照组为常规治疗,观察两组康复效果及治疗安全性。结果观察组患者手术及术后康复指标与对照组比较,差异有统计学意义(P<0.05);观察组并发症率4.00%显著低于对照组24.00%,且术后半年复发率为0,显著低于对照组16.00%,差异有统计学意义(P<0.05)。结论在老年腹股沟疝治疗中采用腹膜外腹腔镜疝气修补术具有良好的效果,可减少术中创伤,加快术后康复,且安全性较高,值得推广。
Objective To investigate the clinical efficacy of extraperitoneal laparoscopic hernia repair in the treatment of inguinal hernia in the elderly. Methods From April 2015 to April 2017,50 elderly patients with inguinal hernia treated in our hospital were selected as research material and randomly divided into two groups,and 25 cases in each group.The observation group was treated with extraperitoneal laparoscopic hernia repair,while the control group was treated with conventional treatment.The rehabilitation effect and safety of the two groups were observed. Relults The operative and postoperative rehabilitation indicators of the observation group had obvious advantages compared with the control group(P < 0.05).The complication rate of the observation group was 4%,which was significantly lower than that of the control group(24%),and the recurrence rate was 0 in the half year after operation,which was significantly lower than that in the control group 16%,P < 0.05. Conclusion Extraperitoneal laparoscopic hernia repair has a good effect in the treatment of inguinal hernia in the elderly.It can reduce the trauma in the operation,accelerate the postoperative recovery,and have a high safety.It is worth popularizing.
Objective To investigate the clinical efficacy of extraperitoneal laparoscopic hernia repair in the treatment of inguinal hernia in the elderly. Methods From April 2015 to April 2017,50 elderly patients with inguinal hernia treated in our hospital were selected as research material and randomly divided into two groups,and 25 cases in each group.The observation group was treated with extraperitoneal laparoscopic hernia repair,while the control group was treated with conventional treatment.The rehabilitation effect and safety of the two groups were observed. Relults The operative and postoperative rehabilitation indicators of the observation group had obvious advantages compared with the control group(P < 0.05).The complication rate of the observation group was 4%,which was significantly lower than that of the control group(24%),and the recurrence rate was 0 in the half year after operation,which was significantly lower than that in the control group 16%,P < 0.05. Conclusion Extraperitoneal laparoscopic hernia repair has a good effect in the treatment of inguinal hernia in the elderly.It can reduce the trauma in the operation,accelerate the postoperative recovery,and have a high safety.It is worth popularizing.
引文
[1]孙雪峰.腹膜外腹腔镜疝气修补术与传统疝修补术治疗腹股沟疝的疗效对比分析[J].河北医科大学学报,2015,36(6):703-705.
[2]金哲敏,童伟民.改良腹腔镜全腹膜外疝修补术治疗腹股沟疝疗效[J].中国内镜杂志,2015,21(5):513-516.
[3]刘威,沈根海,高泉根,等.全腹膜外腹腔镜疝修补术在女性腹股沟疝中的应用[J].实用医学杂志,2016,32(10):1672-1674.
[4]陆景锋,李华青,李健文,等.腹腔镜全腹膜外修补术治疗腹股沟疝1437例操作体会[J].中国实用外科杂志,2015,35(8):870-872.
[5]杨栋,吴晓明,刘丰,等.腹股沟疝腹腔镜下修补术与无张力修补术应用于老年患者的综合疗效研究[J].现代生物医学进展,2016,16(18):3492-3495.
[6]张云,郝晓晖,李健文,等.腹腔镜腹股沟疝修补术治疗老年腹股沟疝的临床疗效[J].中华消化外科杂志,2016,15(10):967-971.
[7]贺良,李培坤,耿小平.腹腔镜下完全腹膜外间隙补片修补术与Lichtenstein修补术治疗成人腹股沟疝安全性和疗效的Meta分析[J].中国现代普通外科进展,2016,19(8):604-609.
[8]王桐生,丁磊,赵爱民,等.腹腔镜下全腹膜外腹股沟疝修补术与经正中线切口腹膜前腹股沟疝修补术的比较研究[J].中国微创外科杂志,2016,16(2):118-121.
[9]吴川江,吴曦.经脐单孔腹腔镜下全腹膜外腹股沟疝修补术的安全性及有效性探讨[J].实用医院临床杂志,2017,14(4):179-181.
[10]仝传志,阿吉木·阿不力克木.腹腔镜微创术式与Lichtenstein修补术治疗老年复发性腹股沟疝的临床对比观察[J].临床和实验医学杂志,2016,15(6):573-576.
[11]董峰,胡季明,李秀琪.疝囊横断技术在老年腹腔镜完全腹膜外疝修补术中的应用[J].中国现代普通外科进展,2016,19(8):621-623.
[12]肖强,曾军,梁海飞,等.不同术式的疝修补术治疗成人腹股沟疝后的临床疗效观察[J].河北医学,2017,23(4):603-607.
[13]沈雄飞,江礼娟,马冬华,等.腹腔镜下全腹膜外修补术治疗腹股沟疝的学习曲线[J].重庆医学,2017,46(19):2662-2664.
[14]刘雪来,费川,张永婷,等.小儿腹腔镜单部位腹内缝扎与单孔腹膜外结扎关闭腹股沟内环的疗效对比[J].中华普通外科杂志,2017,32(4):328-331.
[15]陈胜平,谷春伟.TEP与TAPP治疗腹股沟疝的临床评价[J].中国现代普通外科进展,2015,18(9):736-737.
[2]金哲敏,童伟民.改良腹腔镜全腹膜外疝修补术治疗腹股沟疝疗效[J].中国内镜杂志,2015,21(5):513-516.
[3]刘威,沈根海,高泉根,等.全腹膜外腹腔镜疝修补术在女性腹股沟疝中的应用[J].实用医学杂志,2016,32(10):1672-1674.
[4]陆景锋,李华青,李健文,等.腹腔镜全腹膜外修补术治疗腹股沟疝1437例操作体会[J].中国实用外科杂志,2015,35(8):870-872.
[5]杨栋,吴晓明,刘丰,等.腹股沟疝腹腔镜下修补术与无张力修补术应用于老年患者的综合疗效研究[J].现代生物医学进展,2016,16(18):3492-3495.
[6]张云,郝晓晖,李健文,等.腹腔镜腹股沟疝修补术治疗老年腹股沟疝的临床疗效[J].中华消化外科杂志,2016,15(10):967-971.
[7]贺良,李培坤,耿小平.腹腔镜下完全腹膜外间隙补片修补术与Lichtenstein修补术治疗成人腹股沟疝安全性和疗效的Meta分析[J].中国现代普通外科进展,2016,19(8):604-609.
[8]王桐生,丁磊,赵爱民,等.腹腔镜下全腹膜外腹股沟疝修补术与经正中线切口腹膜前腹股沟疝修补术的比较研究[J].中国微创外科杂志,2016,16(2):118-121.
[9]吴川江,吴曦.经脐单孔腹腔镜下全腹膜外腹股沟疝修补术的安全性及有效性探讨[J].实用医院临床杂志,2017,14(4):179-181.
[10]仝传志,阿吉木·阿不力克木.腹腔镜微创术式与Lichtenstein修补术治疗老年复发性腹股沟疝的临床对比观察[J].临床和实验医学杂志,2016,15(6):573-576.
[11]董峰,胡季明,李秀琪.疝囊横断技术在老年腹腔镜完全腹膜外疝修补术中的应用[J].中国现代普通外科进展,2016,19(8):621-623.
[12]肖强,曾军,梁海飞,等.不同术式的疝修补术治疗成人腹股沟疝后的临床疗效观察[J].河北医学,2017,23(4):603-607.
[13]沈雄飞,江礼娟,马冬华,等.腹腔镜下全腹膜外修补术治疗腹股沟疝的学习曲线[J].重庆医学,2017,46(19):2662-2664.
[14]刘雪来,费川,张永婷,等.小儿腹腔镜单部位腹内缝扎与单孔腹膜外结扎关闭腹股沟内环的疗效对比[J].中华普通外科杂志,2017,32(4):328-331.
[15]陈胜平,谷春伟.TEP与TAPP治疗腹股沟疝的临床评价[J].中国现代普通外科进展,2015,18(9):736-737.