腹腔镜及开放式无张力疝修补术的临床分析

目的探讨腹腔镜和开放式无张力疝修补术治疗腹股沟疝的临床应用。方法选取本院2010年6月-2012年8月采取腹腔镜和开放式无张力疝修补术治疗腹股沟疝的80例患者．按照手术方式的不同分为腹腔镜组和无张力组，每组各40例，比较两组患者的术后情况。结果与腹腔镜组相比，无张力组在手术时间【（55．40±12．50）min]和住院费用【（5486±342）元]上存在优势（P〈0．05）；但是腹腔镜组在术后需要的止痛剂（2．5％）、切口满意度（95．0％）、恢复时间【（7．26±3．11）d】以及住院时间[（4．86±1．21）d】方面存在明显优势（P〈0．05）。结论无张力组和腹腔镜组均存在各自的优势，但是从安全性、恢复性和美容效果等方面，腹腔镜疝修补手术更值得推广。

Clinical analysis of laparoscopic and open tension-free hemioplasty

Objective To investigate the clinical application of laparoseopic and open tension-free hernioplasty in treatment of inguinal hernia. Methods According to different operation mode,80 cases of patients with inguinal hernia, who were treated with laparoscopie and open tension-free hernioplasty in our hospital from June 2010 to August 2012, were divided into laparoscopie hernioplasty group and open tension-free hernioplasty group,with 40 cases in each group.Postoperative situation were compared between the two groups. Results Compared with laparoseopie group,ten- sion-free group had superiority on operation time [（55.40±12.50） min] and hospitalization expenses [（5486±342） yuan] （P〈0.05）.But laparoscopic group had obvious superiority on postoperative analgesic （2.5%）,incision satisfaction （95.0%）,recovery time [（7.26±3.11） d] and length of stay [（4.86±1.21） d]（P〈0.05）. Conclusion Tension-free group and laparoscopic group have respective advantages,but based on safety,recovery and cosmetic effect etc.Laparoseopie hernioplasty is more worthy of promotion.