摘要
目的对比完全腹膜外疝修补术(TEP)与Kugel疝修补术治疗腹股沟疝的临床疗效。方法回顾性分析2010年7月至2012年7月厦门市翔安区同民医院行TEP与Kugel修补术患者的临床资料,观察二组患者平均手术时间、平均住院时间、止痛药应用例数、术后离床活动时间、阴囊水肿、阴囊血肿及复发率。结果 TEP组患者平均手术时间(64±9)min,Kugel修补组平均手术时间为(45±8)min,差异有统计学意义(t=9.553,P=0.000)。TEP组患者平均住院时间、术后离床活动时间、止痛药应用例数均少于Kugel补片疝修补组,差异有统计学意义(t=4.116、12.352,χ2=15.576,P均<0.05)。二组患者均无复发及阴囊血肿发生。结论二种腹膜外腹股沟疝修补方法均可取得良好疗效,腹腔镜疝修补术创伤小、术后恢复更快。
Objective To compare the clinical efficacy of laparoscopic totally extraperitoneal prosthesis and hernia repair of Kugel. Methods The patient＇s clinical data with laparoscopic totally extraperitoneal hernia repair and the Kugel hernia repair surgery were retrospectively analysed from July 2010 to July 2012 in Xiang＇ an Hospital. The average operation time, average length of hospital stay, anodyne application, average postoperative active time, scrotal edema, scrotal hematoma and relapse rates were ana- lyzed. Results There were no recurrence and scrotal hematoma cases in two groups. The average operative time of patients with laparoscopic group was slightly longer than the Kugel patch repair group （ t = 9. 553 ,P = 0. 000）. The average length of hospital stay, average postoperative active time , anodyne application were shorter than those in the group of Kugel patch hernia repair （t =4. 116,12. 352 ,X2 = 15. 576,P all 〈0.05）. Conclusion Both extraperitoneal inguinal hernia repair methods are effective, Less postoperative trauma was observed in the group of TEP with faster recovery.
出处
《中华疝和腹壁外科杂志（电子版）》
2013年第5期67-69,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
疝修补术
腹腔镜
对比研究
Hernia, inguinal
Herniorrhaphy
Laparoscopes
Comparative study
