腹腔镜腹股沟疝修补与开放性腹股沟疝修补的疗效对比研究

【摘要】〓目的〓比较腹腔镜腹股沟疝修补与开放性腹股沟疝修补的优缺点。方法 对2012年5月~2013年5月中山市中医院240例成人腹股沟疝修补术进行回顾性分析,其中开放性疝修补术(开腹疝修补组)148例,腹腔镜疝修补术(腔镜疝修补组)92例。收集两组患者的手术时间、住院时间、住院费用、术后复发、术后慢性疼痛、术后阴囊积液及术后感染的临床资料并进行比较。 结果 开腹疝修补组患者在平均手术时间、平均住院费用少于腔镜疝修补(P均<0.01);开腹疝修补组术后复发(3例)、术后慢性疼痛(11例)、术后阴囊积液(2例)及术后感染(1例)等总并发症高于腔镜疝修补组(P<0.05);两组的平均住院时间差异无统计学意义。结论 腔镜组腹股沟疝修补术具有较少的术后并发症,但在住院时间、住院费用方面没有优势。

Comparative study on the laparoscopic inguinal hernia repair and open inguinal hernia repair

ObjectiveTo compare the efficacy between laparoscopic inguinal hernia repair and open inguinal hernia repair. MethodsFrom May 2012 to May 2013, 240 cases of adult inguinal hernia repair were retrospectively analyzed. Of 240 cases,148 cases underwent open herniorrhaphy （open group）, 92 underwent laparoscopic herniorrhaphy （laparoscope group）. The clinical parameters of two groups were recorded and analyzed,including operation time,.length of hospital stay, hospital expenses,.postoperative recurrence,.postoperative chronic pain,.postoperative scrotal hydrops and postoperative infection. ResultsThe average operation time and hospitalization expenses for open group was 62.9±9.8 min and 8420±2481 yuan,.lower than that laparoscopic group （76.2±9.4 min and 12468±33858 yuan,P〈0.01）. However, postoperative complications in open group were including recurrence （3 cases）, chronic postoperative pain（11 cases）, postoperative scrotal hydrops （2 cases）, postoperative infection （1 case） were higher than that in laparoscopic group （P〈0.05）. No difference was found in hospital stay between two groups. ConclusionLaparoscopic hernia repair has less postoperative complications,.shorter hospitalization time,.but has more hospital expenses.