无张力疝修补术在腹股沟复发疝治疗中的效果评价(1)
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【摘要】 目的: 探讨无张力疝修补术在腹股沟复发疝治疗中的的临床效果。方法:将68例腹沟股复发疝患者采用随机数字的方法，分为开放式无张力疝修补术组(A组)与腹腔镜腹股沟疝修补术(B组)，各组均34例。比较两组患者平均手术时间，首次下床活动时间，平均住院时间，住院费用及术后并发症的发生情况。结果：B组患者平均手术时间，首次下床活动时间及平均住院时间均显著少于A组(P<0.05)，A组的平均住院费用少于B组(P<0.05)，而两组术后并发症的发生情况无显著差异(P>0.05)。结论：开放式无张力疝修补术与腹腔镜疝修补术治疗腹沟股复发疝均安全有效，有各自的优势，同时又各有缺点，临床医生应根据患者的具体病情、对手术质量要求及经济承受力等多方面进行综合考虑而选择合适的手术方式。
【关键词】 腹股沟复发疝；开放式无张力疝修补；腹腔镜疝修补术；效果评价
The Tension-free inguinal hernia repair in the treatment of recurrent hernia Evaluation
YangXiang (Department of General Surgery ,the People's Hospital of Dujiangyan City, Chengdu, Dujiangyan 611830)
【Abstract】 Objective: To investigate the tension-free inguinal hernia repair in the treatment of recurrent hernia clinical results. Methods: 68 patients with recurrent abdominal hernia patients ditch shares the method using random numbers, into open tension-free hernia repair group (A) and laparoscopic inguinal hernia repair (B group), all groups were 34 cases. Compared two groups of patients with an average operative time, get out of bed the first time, the average length of stay, hospital costs and postoperative complications were observed. Results: B group with an average operative time, get out of bed the first time and the average length of stay were significantly less than group A (P <0.05), A group, the average hospital cost less than group B (P <0.05), while the two groups postoperative complications were not significantly different (P> 0.05). Conclusion: Open tension-free hernia repair and laparoscopic hernia repair, treatment of abdominal hernia recurrence ditch shares are safe and effective, have their own advantages, but they have their own shortcomings, clinicians should be based on the patient's specific condition, and quality requirements for surgery more affordable and other aspects into account and select the appropriate surgical approach.
【Key words】 recurrence of inguinal hernia; open tension-free hernia repair; laparoscopic hernia repair; Evaluation
腹股沟复发疝是腹股沟疝手术后的常见并发症，无论是何种疝修补术后都有一定的复发率，特别是进行传统疝修补术后，患者的复发率较高，可达15-20%。复发率随着患者年龄的增长而增加，对于60岁以上的患者，其复发率可达到50%以上[1]。引起复发疝的原因较复杂，而且复发疝的患者已经经过一次手术，原有的解剖结构已经部分或完全破坏，再次手术存在一定的难度。回顾性分析我院2005年1月-2008年1月对收治的68例复发疝患者进行了两种无张力疝修补术的临床疗效 ......
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