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1、腹腔镜完全腹膜外疝修补术治疗腹股沟疝临床分析［摘要］目的：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备60例,对照组采用开放示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，治疗组的住院时间明显短于对照组（P〈0.05）,治疗费用明显多于对照组（P<0.05）o在随访屮，两组均无复发情况发生，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例发生疼痛，对照组有10例术后疼
2、痛，治疗组术后疼痛的例数明显少于对照组（P<0.05）«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［屮图分类号］R656.2+1［文献标识码］A［文章编号］1674-4721（2011）08（a）-037-02TheclinicalanalysisoflaparoscopictotallyextraperitonealherniarepairfortreatinginguinalherniaLIUGuosh
3、eng,LITianwu,FUShihua,LIUXibang,KONGLianguang,YINZhaocheng,HL'ANGJuanjieQingxiHospitalofDongguanCity,GuangdongProvince,Dongguan523660,China［Abstract］Objective:Toevaluatetheeffectsoflaparoscopictotallyextraperitonealherniarepairfortreatinginguinalherniaforgivingrefereneeof
4、inguinalherniarepair.Methods:120patientswithinguinalherniawereequllydividedintotwogroups-thetreatmentgroupandcontrolgroup,thecontrolgrouptreatedbyanopeninguinalherniarepair,thetreatmentgroupwereteatedbythetotallyextraperitoneallaparoscopicherniarepair・Results:Afteracompar
5、ativestudy,thetreatmentgroup'shospitalstaywassignificantlyshortethanthecontrolgroup（P<0.05）,thetreatmentcostswassignificantlymorethanthecontrolgroup（P〈0・05）.Inthefollow-up,norecurrenceoccurredinbothgroups・Alsonoseriouscomplications,comparedtwogroupsofcomplicationsandrecur
6、reneewasnosignificantdifferenee（P>0.05）.Treatmentofpostoperativepainalsooccurredin2patientsinthecontrolgroup,10casesofpostoperativepain,postoperativepainofpatientswiththetreatmentgroupwassignificantlylessthanthecontrolgroup（P<0.05）.Conelusion:Laparoscopictotallyextraperit
7、onealherniarepairfortreatinginguinalherniacanreducehospitalstay,withoutasignificantincreaseincomplicationsandpationtswithoutrecurrence,shouldbewidelyapplied・［Keywords］Laparoscopictotallyextraperitonealherniarepair;Openposteriorapproach;Inguinalhernia;Complications腹股沟疝是普外科
8、常见疾病z—,腹股沟疝形成的病因病理学主要包括两个方面：腹畢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
