腹腔镜下完全腹膜外疝修补术与无张力疝修补术疗效对比

目的：评价腹腔镜下完全腹膜外疝修补术的临床疗效。方法：选取2011-03～2013-09间我院收治的腹股沟疝患者71例，随机分为两组，其中观察组36例，使用腹腔镜下完全腹膜外疝修补术进行治疗，对照组35例，使用无张力疝修补术进行治疗，比较两组患者手术时间、术后下床活动时间、术后疼痛持续时间、总住院时间、并发症发生率与复发例数。结果：观察组术后各项指标均明显优于对照组，两组患者比较差异有统计学意义（P＜0．05）；两组患者在随访期间均无复发情况，比较差异无统计学意义（P＞0．05）。结论：腹腔镜下完全腹膜外疝修补术临床疗效好，术后疼痛时间与总住院时间短，且能较早下床活动，减轻了患者痛苦，无复发情况，值得在临床上推广。

TOTALLY EXTRAPERITONEAL LAPAROSCOPIC HERNIA REPAIR AND TENSION-FREE HERNIA REPAIR SURGERY EFFICACY COMPARISON

Objective：Under evaluation of laparoscopic totally extraperitoneal hernia repair clinical efficacy .Methods：Inguinal her-nia patients in March 2011-September 2013 in our hospital 71 cases were randomly divided into two groups , one group of 36 patients was observed under the use of laparoscopic totally extraperitoneal hernia repair treatment and the control group 35 cases treated with tension-free hernia repair .Two groups were compared operative time , postoperative ambulation time , postoperative pain duration , total hospital stay, incidence of complications and recurrence of the number of cases .Results：The postoperative indicators are significantly better than the control group , the difference between the two groups was statistically significant （P 〈0.05）;groups of patients had no recurrence during follow -up, the difference was not statistically significant （P 〉0.05）.Conclusions：Laparoscopic totally extraper-itoneal hernia repair surgery good clinical efficacy , time and total postoperative pain , shorter hospital stay , and can get out of bed earli-er, reducing pain and no recurrence ,which deserves to be orrlied in clinical practice .