无气腹条件下钩型针缝合腹腔镜切口的临床研究

目的探讨钩型针在无需气腹条件下缝合套管穿刺器(Trocar)切口的临床效果。方法回顾性分析2009年1月至2012年12月期间行腹腔镜手术治疗的患者共381例,其中186例采用钩型针缝合套管穿刺器切口(钩型针缝合组);195例采用常规方法缝合套管穿刺器切口(常规方法缝合组),观测患者出院后3个月、6个月、1年、2年、3年观察戳孔疝的发生率。应用SPSS 19.0程序对数据进行统计分析,术后3个月、6个月、1~3年发生戳孔疝的率用%表示,进行χ2检验,P0.05认为差异有统计学意义。结果随访3年,钩型针缝合组发生戳孔疝1例,发生率为0.54%,常规方法缝合组发生戳孔疝9例,发生率为4.62%,差异均有统计学意义(χ2=4.701,P0.05)。结论在无气腹条件下钩型针缝合套管穿刺器切口与普通缝合方法相比,术后戳孔疝的发生率较低,值得推广。

Clinical investigation of suturing laparoscopic trocar-incision by using needle hook under gasless condition

Objective To investigate the clinical efficacy of suturing laparoscopic trocar-incision by using needle hook under gasless condition . Methods Clinical data of 318 patients underwent laparoscopic surgery during January 2009 to December 2012 were analyzed retrospectively , including 186 cases of suture by using hook needle ( observation group ) and 195 cases of conventional suture ( control group ) .The incidence of trocar-incision hernia were followed up at three months , six months , one year , two years and three years after operation.Stastistical analysis were performed by using SPSS19.0 software.The incidence of trocar-incision hernia between 2 group was examined by using χ2 test.A P value of <0.05 was considered as statistical significant difference . Result During 3-years followup , there was one case (0.54%) of trocar-incision in observation group and nine cases (4.62%) in control group, with significant difference (χ2 =4.701, P<0.05). Conclusion Compared with traditional suture , suturing by using hook needle could achieve a lower incidence of trocar-incision hernia , which is worth of clincial promotion .