免钉合器腹腔镜下经腹腔腹膜前法腹股沟疝修补术的临床研究

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1、2l80实用医学杂志2017年第33卷第13期免钉合器腹腔镜下经腹腔腹膜前法腹股沟疝修补术的临床研究黄国增陈荫曾李旺陈少琴蒋幸丽【摘要】目的研究免钉合器腹腔镜下经腹腔腹膜前法腹股沟疝修补术的临床效果。方法选取2015年2月至2017年1月腹股沟疝患者80例，按随机数字表法分为2组，每组40例患者。对照组采用传统的腹腔镜下经腹腔腹膜前法腹股沟疝修补术治疗；免钉合器组接受免钉合器腹腔镜下经腹腔腹膜前法腹股沟疝修补术治疗。就2组患者手术时间、手术过程中出血总量、手术后平均住院时间、住院的总费用、术后疼痛评分、术后恢复活动的时间和患者满意度、术后手术区积液、阴囊血肿等并发症发生率进行比较。结果免钉合

2、器组患者满意度明显高于对照组，(P0．05)。结论传统的腹腔镜下经腹腔腹膜前法腹股沟疝修补术和免钉合器腹腔镜下经腹腔腹膜前法腹股沟疝修补术的手术时间及手术出血量等均相似，但免钉合器腹腔镜下经腹腔腹膜前法腹股沟疝修补术的临床应用效果确切，并发症少，疼痛轻，术后恢复快，可减少治疗费用，且美容效果满意，患者接受度高，值得

3、推广。【关键词】免钉合器；腹腔镜；经腹腔腹膜前法腹股沟疝修补术；临床效果Clinicalstudyoflaparoscopicrepairofinguinalherniabylaparoscopicanteriorapproachwithnonsta-piingdeviceHUANGGuozeng，CHENYinceng，LIWang，CHENShaoqin，JIANGXingli．CentralHospitalofGuangmingNewDistrict，Shenzhen518707，China【Abstract】0bjectiveTostudyclinicaleffectafterlap

4、aroscopicabdominalpreperitonealinguinalherniarepairmethodwithoutstapler．Methods8Ocasesofinguinalhernia(hospitalizedfromFebruary2015toJanuary2017)weredividedintotwogroupsaccordingtotherandomnumbertablemethod，with40patientsineachgroup．Traditionallaparoscopicperitonealinguinalherniarepairmethodwasappl

5、iedinthecontrolgroup．Freestaplergroupreceivedfleestaplerlaparoscopicpreperitonealinguinalherniarepairtreatmentmethod．Operationtime，amountofbleedingduringsurgery，theaveragehospitalizationtimeafteroperation，thetotalcostofhospitalization，postoperativepainscore，postoperativerecoveryactivitiestime，patie

6、ntssatisfaction，operationeffusionafteroperationoccurredscrotalhematomaandothercomplicationswerecomparedbetweenthetwogroupsofpatients．ResultsInfreestaplergroup，patientssatisfactionratewassignificantlyhigherthanthecontrolgroup(P<0．05)．Areaofeffusion．scrotalhematomaandothercomplicationsinfreestaplergr

7、oupaftersurgeryweresignificantlylowerthanthecontrolgroup(P<0．05)．Totalcostofhospitalization，postoperativepainscore，postoperativerecoverytimeacti’vitiesinfreestaplergroupweresignificantlybetterthanthoseinthe