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    张杰, 周少波, 褚亮, 张昕. 经腹腔镜与开放式疝修补手术的随机对照研究[J]. 蚌埠医科大学学报, 2012, 36(8): 898-900.
    引用本文: 张杰, 周少波, 褚亮, 张昕. 经腹腔镜与开放式疝修补手术的随机对照研究[J]. 蚌埠医科大学学报, 2012, 36(8): 898-900.
    shu
    ZHANG Jie, ZHOU Shao-bo, CHU Liang, ZHANG Xin. A comparative study of treatment inguinal hernia with laparoscopic hernia repair and open hernia repair[J]. Journal of Bengbu Medical University, 2012, 36(8): 898-900.
    Citation: ZHANG Jie, ZHOU Shao-bo, CHU Liang, ZHANG Xin. A comparative study of treatment inguinal hernia with laparoscopic hernia repair and open hernia repair[J]. Journal of Bengbu Medical University, 2012, 36(8): 898-900.
    shu

    经腹腔镜与开放式疝修补手术的随机对照研究

    A comparative study of treatment inguinal hernia with laparoscopic hernia repair and open hernia repair

      摘要
    • 摘要: 目的：比较经腹腔镜与开放式4种术式修补腹股沟疝的效果。方法：将连续100例NyhusⅠ～Ⅲ型原发性腹股沟疝患者随机均分为4组，Ⅰ组行开放式腹膜前修补术，Ⅱ组行Lichtenstein无张力疝修补术，Ⅲ组行腹腔镜经腹腔腹膜前补片植入术(TAPP)，Ⅳ组行腹腔镜全腹膜外补片修补术(TEP)。结果：Ⅲ、Ⅳ组患者手术时间均长于Ⅰ、Ⅱ组(P0.01)，Ⅰ组手术时间长于Ⅱ组(P0.05)。Ⅰ、Ⅱ组患者术后6 h疼痛均强于Ⅳ组(P0.01和P0.05)。Ⅲ、Ⅳ组中各1例中转开腹手术。经腹腔镜手术恢复工作时间显著快于Ⅰ、Ⅱ组(P0.01)。结论：TEP和TAPP治疗腹股沟疝的效果相似，较开放式修补术后疼痛少，恢复快。

       

      Abstract: Objective:To compare the effects of four different repairs on inguinal hernia.Methods:One hundred cases with primary inguinal hernia of NyhusⅠⅢ were randomly divided into four groups.Group Ⅰwere treated with open properitoneal repair,group Ⅱ were treated with Lichtenstein tension-free repair,group Ⅲ were treated with transabdominal properitoneal(TAPP) repair and group Ⅳ were treated with laparoscopic totally extraperitoneal(TEP) repair.Results:The operative time of group Ⅲ and Ⅳ were longer than that of group Ⅰ and Ⅱ(P0.01).Compared with group Ⅱ,the operative time of groupⅠwas long(P0.05).Postoperative pain of group Ⅰ and Ⅱwere stronger than that of group Ⅳ within 24 hours after operation(P0.01 and P0.05).One case in group Ⅲ and one in group Ⅳ conversed to open procedure.The activity time of cases treated with laparoscopic operation were significantly shorter than that of group Ⅰ and Ⅱ(P0.01).Conclusions:The effects of TEP and TAPP are similar.Laparoscopic hernia repair is less postoperative pain and fast recovery.

       

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