[1]李胜,杨文光.腹腔镜下钩针法疝环闭合术治疗成人腹股沟斜疝90例临床观察[J].甘肃中医药大学学报,2018,35(02):66-69.[doi:10.16841/j.issn1003-8450.2018.02.18]
 LI Sheng,YANG Wenguang.Clinical observation of laparoscopic surgery with the ring closure methods for 90 cases of adult indirect inguinal hernia[J].Journal of Gansu University of Chinese Medicine,2018,35(02):66-69.[doi:10.16841/j.issn1003-8450.2018.02.18]
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腹腔镜下钩针法疝环闭合术治疗成人腹股沟斜疝90例临床观察()
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《甘肃中医药大学学报》[ISSN:1003-8450/CN:62-1062/R]

卷:
35卷
期数:
2018年02期
页码:
66-69
栏目:
临床研究与报道
出版日期:
2018-04-25

文章信息/Info

Title:
Clinical observation of laparoscopic surgery with the ring closure methods for 90 cases of adult indirect inguinal hernia
作者:
李胜 杨文光
金昌市中西医结合医院普外二科, 甘肃 金昌 737100
Author(s):
LI Sheng YANG Wenguang
The Second Department of General Surgery, Jinchang Hospital of Integrated Traditional Chinese and Western Medicine, Jinchang, Gansu, 737100, China
关键词:
腹股沟斜疝成人钩针法疝环闭合术临床观察
Keywords:
inguinal herniaadultcrochethernia ring closureclinical observation
分类号:
R656.2+1
DOI:
10.16841/j.issn1003-8450.2018.02.18
摘要:
目的 观察腹腔镜下钩针法疝环闭合术治疗成人腹股沟斜疝的临床疗效。方法 将180例成人腹股沟斜疝患者随机分为2组,各90例。对照组采用腹腔镜下经腹腔腹膜前间隙疝修补术治疗,治疗组采用腹腔镜下钩针法疝环闭合术治疗,观察并比较2组患者的手术时间、术中出血量、术后住院时间、住院费用、术后疼痛评分及术后并发症情况等。结果 治疗组手术及术后住院时间明显缩短,术中出血量明显减少,住院费用及术后疼痛评分显著降低,与对照组比较差异均有统计学意义(P<0.05或P<0.01);治疗组阴囊血肿或血清肿及切口感染直径明显小于对照组,2组比较差异均有统计学意义(P<0.01)。结论 腹腔镜下钩针法疝环闭合术治疗成人腹股沟斜疝安全可行,并且操作简单、并发症少、术后疼痛轻、恢复快、复发率低,具有一定的优越性,值得推广。
Abstract:
Objective To observe the clinical effect of laparoscopic crochet closure of the inguinal hernia in adults. Methods 180 adult patients with inguinal hernia were randomly divided into 2 groups,90 cases in each. The control group was treated with laparoscopic transperitoneal preperitoneal space hernia repair. The treatment group was treated with laparoscopic crochet ring closure. The operation time,intraoperative blood loss,postoperative hospital stay,hospital costs,postoperative pain score and postoperative complications were observed and compared between the two groups. Results The time of surgery and postoperative hospital stay was significantly shorter in the treatment group. The amount of intraoperative blood loss was significantly reduced, hospitalization costs and pain scores were significantly reduced,and there was a significant difference between the treatment group and the control group(P<0.05 or P<0.01). The diameter of hematoma or seroma and wound infection was significantly smaller than that of the control group. There was significant difference between the two groups(P<0.01). Conclusion Laparoscopic crochet closure of the indirect inguinal hernia in adults is safe and feasible,and it is easy to operate,less complications, postoperative pain,rapid recovery,low recurrence rate. It has certain advantages and is worthy of promotion.

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备注/Memo

备注/Memo:
收稿日期:2017-07-06。
作者简介:李胜(1981-),男,副主任医师,医学学士,主要从事微创外科、胃肠道肿瘤及疝外科方面的研究。
更新日期/Last Update: 1900-01-01