杂交手术与腹腔镜下修补术治疗腹壁切口疝的临床研究

目的探讨杂交手术与腹腔镜下修补术治疗腹壁切口疝的临床体会。 方法回顾性分析2015年3月至2018年1月，苏州工业园区星湖医院普外科接受治疗的30例腹壁切口疝患者的临床资料。其中试验组患者14例，行杂交手术治疗；对照组患者16例，行腹腔镜下修补术。比较2组手术指标及术后疼痛情况。 结果试验组手术时间（175.63±21.15）min，与对照组（246.35±52.16）比较，差异有统计学意义（P<0.05）；试验组VAS评分、自主下床活动时间、术中出血量、住院时间、并发症发生情分别为（3.15±0.63）分、（2.49±0.35）d、（65.96±12.35）ml、（8.16±2.34）d及0，与对照组（3.65±0.52）分、（2.50±0.38）d、（66.34±13.52）ml、（8.26±2.18）d及2（12.5%）比较，差异均无统计学意义（P均>0.05）。 结论杂交手术治疗腹壁切口疝可明显缩短手术时间，且安全性好，具有较高的临床推广价值。

Clinical study of hybrid surgery and laparoscopic repair in the treatment of incisional hernia of abdominal wall

ObjectiveTo explore the clinical experience of hybrid operation and laparoscopic repair in the treatment of abdominal incisional hernia. MethodsA retrospective review of 30 patients with abdominal incisional hernia who were treated in Xinghu hospital from March 2015 to January 2018 was carried out. Among them, 14 cases were treated with hybrid operation and 16 cases with laparoscopic repair. The surgical indexes and postoperative pain of the two groups were compared. ResultsThere was no significant difference between the two groups in the incidence of complications, VAS scores, intraoperative bleeding volume, the time of autonomous out of bed and the time of hospitalization [0 vs 12.5%; 3.15±0.63 vs 3.65±0.52; (65.96±12.35) ml vs (66.34±13.52) ml; (2.49±0.35) days vs (2.50±0.38) days; (8.16±2.34) days vs (8.26±2.18) days, P>0.05]. However the operation time of the hybrid group was shorter than that of the laparoscopic group [(175.63±21.15) minutes vs (246.35±52.16) minutes, P<0.05]. ConclusionHybrid operation for abdominal incisional hernia can significantly shorten the operation time, and has good safety, with high clinical value.