疝_腹股沟；腹腔镜_____疝，腹股沟；腹腔镜

腹腔镜腹股沟疝修补术两种补片固定方法的前瞻性对比研究

http://www.100md.com 《腹腔镜外科杂志》 2006年第3期

疝,腹股沟；腹腔镜,,疝，腹股沟；腹腔镜,【摘要】,【关键词】,1资料与方法,2结果,3讨论,参考文献

     【摘要】 目的：探讨改进腹腔镜腹股沟疝修补术补片固定的方法与可行性。方法：80例腹股沟疝患者均采用经腹腔腹膜前补片腹腔镜疝修补术(transabdominal preperitoneal repair,TAPP)。在补片固定方法上随机分组,40例(A组)应用补片三点固定法,40例(B组)用一次性钉合器固定。结果：80例腹股沟疝行腹腔镜疝修补术全部完成，无中转开放手术。两组在手术时间、住院总天数及复发率方面无统计学差异(P>005)，A组在术后并发症及总住院费用方面明显优于B组,差异有统计学意义(P<001)。结论：补片三点固定法固定牢靠，经济实用,操作简单,值得推广。

     【关键词】 疝，腹股沟；腹腔镜

    The prospective and comparative study of two mushsuturing methods in laparoscopic inguinal hernia repair

    ZHANG Zhiyong.

    Laparoscopic Center of 331 Hospital,Zhuzhou 412002,China

    【Abstract】 Objective:To explore the method and feasibility of mushsuturing in laparoscopic inguinal hernia repair.Methods:Eighty cases with inguinal hernia were performed transabdominal preperitoneal repair.They were divided into two groups with 40 cases in each group.40 cases of A group were treated by using threepointsuturing method.40 cases of B group practiced the mush by using singal hernrostate.Results:All the 80 patients were successfully completed with laparoscopy and no one was converted to open operation.There is no significantly different in the operation time,postoperative hospitalization days and recurrence rate between two groups(P>005).In group A,the complications and total cost of hospitalization were all better than those in group B(P<001).Conclusions:The Laparoscopic inguinal hernia repair by using threepointsuturing method is safe,effective as well as being economic.It is worth adopting widely. ......

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