局麻无张力疝修补术与腹腔镜全腹膜外疝修补术的临床疗效比较(1)
【摘要】 目的：探讨局麻无张力疝修补术与腹腔镜全腹膜外疝修补术的临床疗效。方法：抽取2015年3月-2017年3月62例腹股沟疝患者，运用随机数字表法将其分为对照组(n=30)与治疗组(n=32)，对照组采用局麻无张力疝修补术，治疗组采用腹腔镜全腹膜外疝修补术，观察两组患者临床结果。结果：治疗组在术后4 d内止痛药使用次数明显少于对照组，恢复时间明显短于对照组，手术时间明显长于对照组，可下床活动时间及住院时间明显短于对照组，费用明显多于对照组，差异有统计学意义(P<0.05);但两组患者的并发症与复发率差异无统计学意义(P>0.05)。结论：腹腔镜全腹膜外疝修补术创口较小，恢复时间短，但费用高;局麻无张力疝修补术创口较大，恢复时间长，但费用较低。两种均可作为疝修补的有效方式，患者可依据自身实际情况进行选择。
【关键词】 局麻无张力疝修补术; 腹腔镜全腹膜外疝修补术; 临床疗效
doi：10.14033/j.cnki.cfmr.2019.11.060 文献标识码 B 文章编号 1674-6805(2019)11-0-02
Clinical Observation of Tension-free Local Anesthesia and Laparoscopic Retroperitoneal Hernia Repair/LIN Bingji.//Chinese and Foreign Medical Research，2019，17(11)：-134
【Abstract】 Objective：To investigate the clinical efficacy of local anesthesia in tension-free hernia repair and laparoscopic total extraperitoneal hernia repair.Method：A total of 62 cases of inguinal hernia patients from March 2015 to March 2017 were randomly divided into control group(n=30) and treatment group(n=32).The control group was treated with local tension-free hernia repair，the treatment group was treated with laparoscopic total extraperitoneal hernia repair.The clinical results of the two groups were observed.Result：The number of use of analgesics of treatment group in postoperative 4 d was less than the control group，the recovery time was significantly shorter than the control group，the operation time was significantly longer than the control group，the time of out-of-bed activity and the time of hospitalization were significantly shorter than the control group，the cost was significantly higher than the control group，the difference were all statistically significant(P<0.05).But there was no significant difference in complication and recurrence rate between the two groups(P>0.05).
Conclusion：Laparoscopic total extraperitoneal hernia repair has smaller wound，shorter recovery time，but higher cost，and local tension-free hernia repair has larger wound，longer recovery time，but lower cost.Both can be used as effective ways of hernia repair，patients can choose according to their own actual situation.
【Key words】 Local anesthesia tension-free hernia repair; Laparoscopic total retroperitoneal hernia repair; Clinical efficacy
First-author’s address：Guangji Hospital of Dongguan City，Dongguan 523690，China
腹股溝疝是一种常见的普通外科疾病，该疾病多发病于男性群体。我国关于治疗腹股沟疝具有悠久历史，经历了从有张力到低张力再到无张力的变化[1]。自无张力疝修补术诞生后，已被临床广泛的使用[2]。伴随着医疗技术的不断发展，目前临床中使用腹腔镜的方式进一步完善传统的无张力疝修补术，有效提升了患者的舒适度，缩短了患者的康复时间[3]。本文将重点探讨局麻无张力疝修补术与腹腔镜全腹膜外疝修补术的临床疗效。, http://www.100md.com(林炳基)
【关键词】 局麻无张力疝修补术; 腹腔镜全腹膜外疝修补术; 临床疗效
doi：10.14033/j.cnki.cfmr.2019.11.060 文献标识码 B 文章编号 1674-6805(2019)11-0-02
Clinical Observation of Tension-free Local Anesthesia and Laparoscopic Retroperitoneal Hernia Repair/LIN Bingji.//Chinese and Foreign Medical Research，2019，17(11)：-134
【Abstract】 Objective：To investigate the clinical efficacy of local anesthesia in tension-free hernia repair and laparoscopic total extraperitoneal hernia repair.Method：A total of 62 cases of inguinal hernia patients from March 2015 to March 2017 were randomly divided into control group(n=30) and treatment group(n=32).The control group was treated with local tension-free hernia repair，the treatment group was treated with laparoscopic total extraperitoneal hernia repair.The clinical results of the two groups were observed.Result：The number of use of analgesics of treatment group in postoperative 4 d was less than the control group，the recovery time was significantly shorter than the control group，the operation time was significantly longer than the control group，the time of out-of-bed activity and the time of hospitalization were significantly shorter than the control group，the cost was significantly higher than the control group，the difference were all statistically significant(P<0.05).But there was no significant difference in complication and recurrence rate between the two groups(P>0.05).
Conclusion：Laparoscopic total extraperitoneal hernia repair has smaller wound，shorter recovery time，but higher cost，and local tension-free hernia repair has larger wound，longer recovery time，but lower cost.Both can be used as effective ways of hernia repair，patients can choose according to their own actual situation.
【Key words】 Local anesthesia tension-free hernia repair; Laparoscopic total retroperitoneal hernia repair; Clinical efficacy
First-author’s address：Guangji Hospital of Dongguan City，Dongguan 523690，China
腹股溝疝是一种常见的普通外科疾病，该疾病多发病于男性群体。我国关于治疗腹股沟疝具有悠久历史，经历了从有张力到低张力再到无张力的变化[1]。自无张力疝修补术诞生后，已被临床广泛的使用[2]。伴随着医疗技术的不断发展，目前临床中使用腹腔镜的方式进一步完善传统的无张力疝修补术，有效提升了患者的舒适度，缩短了患者的康复时间[3]。本文将重点探讨局麻无张力疝修补术与腹腔镜全腹膜外疝修补术的临床疗效。, http://www.100md.com(林炳基)