腹腔镜疝修补术与疝环填充式无张力疝修补术的对比研究

目的分析腹腔镜疝修补术和疝环填充式无张力疝修补术的临床治疗效果。方法选取我院2009年3月～2010年3月收治的58例腹股沟疝患者随机分为两组，其中A组31例患者采取腹腔镜疝修补术进行治疗，B组27例患者采取疝环填充式无张力疝修补术，对两组患者手术时间、术中失血量、住院天数、术后疼痛时间进行比较。结果B组患者的手术平均时间明显低于A组时间（P〈0．05），A组患者住院时间明显低于B组，差异有统计学意义（P〈0．05），A组患者的术后疼痛时间也明显低于B组，二者比较差异有统计学意义（P〈0．05）。结论两种手术都具有创伤小和复发率小的优点，其中疝环填充式无张力疝修补术的手术时间相对较短，操作简单，适合疝环较小、腹横筋膜缺损不大及初次行疝修补的患者。腹腔镜疝修补术所需手术时间相对较长，但术后疼痛时间短，住院天数少，更适合复发疝和双侧疝以及老年疝的患者。两种术式各有自己的优缺点，在治疗时需要根据患者的综合情况进行考虑选择，遵循个体化、规范化原则。

A comparative study of laparoscopic hernia repair surgery and hernia ring filling tension-free hernia repair.

Objective Clinical results of the analysis of laparoscopic hernia repair surgery and hernia ring filling ten- sion-free hernia repair. Methods Admitted in our hospital from March 2009 to March 2010,58 cases of inguinal hernia patients were randomly divided into two groups, where A group of 31 patients taken laparoscopic hernia repair treatment,27 patients in group B. take hernia ring filling tension-free hernia repair, to compare the two groups of patients operative time, intraoperative blood loss, length of hospital stay, postoperative pain. Results Surgery patients in group B was significantly lower than in group A （ P 〈 0. 05 ）, patients in group A hospital stay was signifieandy lower than group B, the difference was significant （ P 〈 0. 05 ） , A group of patients with postoperative pain lower than group B, the difference was statistically significant （ P 〈 0. 05 ）. Conclusion The two surgical trauma and recun＇ence rate, hernia ring filling tension-free hernia repair surgery is a relatively short period of time, simple operation, suitable the hernia ring smaller, transverse fascia defect and the first fine of hernia patch patients. Laparoscopie hernia repair surgery required a relatively long operative time, postoperative pain, shorter hospital days, more suitable for recurrent hernia and bilateral hernia and elderly patients with hernia. Of two procedures have their own advantages and disadvantages,in the treatment of patients consider choosing to be individualized, standardized principles.