首页|腹腔镜李金斯坦与开放无张力疝修补术对比

腹腔镜李金斯坦与开放无张力疝修补术对比

扫码查看
目的 分析腹腔镜李金斯坦疝修补术的安全性和可行性.方法 收集2020年5月至2023年12月于东台市人民医院诊断为腹股沟疝且行腹股沟疝修补术患者50例,其中采用腹腔镜李金斯坦疝修补术(简称"腹腔镜组")20例,采用开放无张力疝修补术(简称"传统组")30例,比较2组患者的手术时间、术后住院时间、术后疼痛国际视觉类比评分、术后白细胞和C-反应蛋白(C-reactive protein,CRP)变化,及术后并发症.结果 全部患者均成功完成腹股沟疝修补术,与传统开腹组比较,腹腔镜组能够明显缩短术后住院时间(P<0.05),术后疼痛国际视觉类比评分降低(P<0.05),且术后白细胞(white blood cell,WBC)及C-反应蛋白较传统组明显下降(P<0.05),2组患者手术时间和术后并发症发生率无统计学意义(P>0.05).结论 从本组有限的病例资料初步得出,腹腔镜李金斯坦疝修补术安全、有效且美容效果好.
Comparison of Laparoscopic Lichtenstein and Tension-free Herniaoplasty
Objective To analyze the safety and feasibility of Lichtenstein herniaoplasty.Methods A total of 50 patients diagnosed as inguinal hernia undergoing inguinal herniaoplasty in Dongtai People's Hospital from May 2020 to December 2023 were collected,including 20 patients who underwent laparoscopic Ligenstein herniaoplasty(referred to as the"laparoscopic group")and 30 patients who underwent open tension-free herniaoplasty(referred to as the"traditional group").Operation time,postoperative hospital stay,international visual analogy score of postoperative pain,postoperative changes of white blood cells(WBC)and C-reactive protein(CRP),and postoperative complications were compared between the two groups.Results All patients successfully completed inguinal herniaoplasty.Compared with the traditional laparotomy group,the laparoscopic group could significantly shorten the length of postoperative hospital stay(P<0.05),lower the international visual analogy score of postoperative pain(P<0.05)and the WBC and CRP decreased significantly after operation compared with traditional group(P<0.05).There was no statistical significance in operation time and incidence of postoperative complications in the two groups(P>0.05).Conclusion Based on the limited case data of this group,it is preliminarily concluded that laparoscopic Ligkinstein herniaoplasty is safe,effective and has good cosmetic effect.

inguinal hernialaparoscopycosmetic

何江、张良、赵晶晶、高楠、宋小平

展开 >

东台市人民医院普外科,江苏东台 224200

湖北科技学院生物医学工程与医学影像学院,湖北咸宁 437000

腹股沟疝 腹腔镜 美容

2024

锦州医科大学学报
辽宁医学院

锦州医科大学学报

影响因子:0.802
ISSN:1674-0424
年,卷(期):2024.45(6)