资源描述：
《腹腔镜完全腹膜外疝修补术治疗腹股沟疝临床分析》由会员上传分享，免费在线阅读，更多相关内容在工程资料-天天文库。
1、腹腔镜完全腹膜外疝修补术治疗腹股沟疝临床分析［摘耍］冃的：探讨腹腔镜完全腹膜外疝修补术治疗腹股沟疝临床效果，为腹股沟疝修补治疗提供参考。方法：腹股沟疝患者120例根据入院顺序平分为治疗组与对照组各60例,对照组采用开放后入路腹股沟疝修补术，治疗组采用腹腔镜完全腹膜外疝修补术。结果：经过对比观察，治疗组的住院吋间明显短于对照组(P〈0.05),治疗费用明显多于对照组(P<0.05)o在随访中，两组均无复发情况发牛，也均无严重并发症发生，两组并发症与复发情况对比差异无统计学意义(P>0.05)。同时治疗组术后2例发
2、主疼痛，对照组有10例术后疼痛，治疗组术后疼痛的例数明显少于对照(P<0.05)o结论：腹腔镜完全腹膜外疝修补术治疗腹股沟疝能够减少住院时间，同时不大量增加并发症，术后无复发情况，值得推广应用。［关键词］腹腔镜完全腹膜外疝修补术；开放后入路；腹股沟疝；并发症［中图分类号］R656.2+1［文献标识码］A［文章编号11674-4721(2011)08(a)-037-02Theclinicalanalysisoflaparoscopictotallycxtraperitonealherniarepairfortre
3、atinginguinalherniaLTUGuosheng,LTTianwu,FUShihua,LIUXibang,KONGLianguang,YINZhaocheng,HUANGJuanjieQingxiHospitalofDongguanCity,GuangdongProvince,Dongguan523660,China［Abstract］Objective:Toevaluatetheeffectsoflaparoscopictotallyextraperitonealherniarepairfortr
4、eatinginguinalherniaforgivingreferenceofinguinalherniarepair.Methods:120patientswithinguinalherniawereequllydividedintotwogroups-thetreatmentgroupandcontrolgroup,thecontrolgrouptreatedbyanopeninguinalherniarepair,thetreatmentgroupwereteatedbythetotallyextrap
5、eritoneallaparoscopicherniarepair.Results:Afteracomparativestudy,thetreatmentgroup'shospitalstaywassignificantlyshortethanthecontrolgroup(P<0.05),thetreatmentcostswassignificantlymorethanthecontrolgroup(P<0.05).Inthefollow-up,norecurreneeoccurredinbothgroups
6、.Alsonoseriouscomplications,comparedtwogroupsofcomplicationsandrecurrencewasnosignificantdiffereneo(P>0.05).Treatmentofpostoperativepainalsooccurredin2patientsinthecontrolgroup,10casesofpostoperativepain,postoperativepainofpatientswiththetreatmentgroupwassig
7、nificantly1essthanthecontrolgroup(P<0・05).Conelusion:Laparoscopictotallyextraperitonealherniarepairfortreatinginguinalherniacanreducehospitalstay,withoutasignificantincreaseincomplicationsandpatientswithoutrecurrenc®shouldbewidelyapplied.［Keywords］Laparoscop
8、ictotallyextraperitonealherniarepair;Openposteriorapproach;Tnguinalhernia;Complications腹股沟疝是普外科常见疾病之一，腹股沟疝形成的病因病理学主要包括两个方面：腹壁强度的减弱和腹内压增高［1］。传统的疝修补为开放后入路，但是患者术后存在并发症多、预后不好等特点［2］。随着科技的发展，腹腔镜完全腹膜外疝
