腔镜下联合医用胶与开放式无张力疝修补术治疗腹股沟复发疝的临床对比研究

目的探讨腹腔镜联合医用胶治疗腹股沟复发疝的安全性和有效性。方法回顾性分析2005年6月至2010年6月我科收治的70例腹股沟复发疝患者（斜疝43例，直疝27例）的临床资料；其中腹腔镜联合医用胶腹股沟疝修补术37例（斜疝23例，直疝14例），开放式无张力疝修补术33例（斜疝20例，直疝13例）。术后所有患者均得到随访，随访时间6～57个月，中位时间36．7个月。结果两组在手术时间、术后住院天数上比较差异均无统计学意义（P〉0．05）；腔镜组总的并发症发生率低于开放组，差异有统计学意义（P〈0．05）；腔镜组的住院费用高于开放组，差异有统计学意义（P〈0．05）。结论腹腔镜联合医用胶腹股沟疝修补术治疗腹股沟复发性疝安全、有效、术后并发症少，值得临床推广。

A comparative study on iaparoscopic hernia repairment and tension - free hernia repair in the management of recurrent inguinal hernia

Objective To investigate the safety and validity of laparoscopic hernia repairment in the treatment of recurrent inguinal hernia. Methods The retrospective analysis was used to analyze 70 cases of recurrent inguinal hernia repairment （43 cases of indirect hernia, 20 cases of direct hernia） after treatment with laparoscopic hernia repairment （37 cases, including 23 cases of indirect hernia and 14 cases of direct hernia） or tension -free repairment （33 cases, including 20 cases of indirect hernia and 13 cases of direct hernia）. All of them were followed up to 6 - 57 months and the median time of follow - up was 36. 7 months. Results There was no significant difference in the operation time and length of stay after surgery between the two groups （ P 〉 0.05 ）. The complication rate of laparoscopic hernia repairinent was lower than that of tension -free repairinent （ P 〈 0.05）. The cost of laparoscopic hernia repairinent was more than that of tension -free repairinent（ P 〈0.05）. Conclusions Treatment of recurrent inguinal hernia with laparoscopic hernia repairinent is a simple, safe and has fewer postoperative complications, it is worthy to be spread.