腹腔镜完全腹膜外补片植入不钉合固定术治疗腹股沟疝前瞻性随机临床研究

目的探讨腹腔镜下完全腹膜外补片植入不钉合固定术治疗腹股沟疝的临床价值。方法2006年6月至2008年6月将150例入围患者按入院顺序进行编号，随机分为补片不固定组（观察组）和补片固定组（对照组），观察比较两组手术时间、术中出血、术后血清肿、术区疼痛、相对总费用（元）、近期疝复发率。结果两组患者术程顺利，无中转其他术式，均无近期复发，补片不固定组比补片固定组手术时间短、出血量少、血肿发生率低，但其差异均无统计学意义（P〉0．05）；而术区疼痛率低、相对费用少，且差异均有统计学意义（P〈0．05）。结论腹腔镜下完全腹膜外补片植入不钉合固定术治疗腹股沟疝可行，在住院费用、术后疼痛出现率等方面优于固定组，而不增加近期复发率。

Laparoscopic totally extraperitoneal inguinal hernia repair with non-stapling of mesh prospective randomized controlled clinical study

Objective To summarize the clinical experiences and effects of laparoscopic total extra- peritoneal repair with non-stapling of mesh for inguinal herniorrhaphy. Methods From June 2006 to June 2008, A total of 150 patients with inguinal hernia were randomly divided into stapling group and non-stapling group. Observed the operation time, intra-operative bleeding, postoperative seroma incidence, postoperative pain, total cost and recurrence case of two groups. Results In both groups, all patients were performed successfully. No significant difference was found between the two groups in operation time, intra-operative bleeding, postoperative seroma incidence, and recurrence rate. Compared with mesh stabled group, mesh non-stapled group has significant differences in postoperative pain and total cost. Conclusions Laparoscop- ic total extraperitoneal repair with non-stapling of mesh is feasible, better than the contol group at postoperative pain and total cost, and did not add the recurrence rate.