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(transabdom inal 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。
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.
出处
《腹腔镜外科杂志》
2006年第3期210-211,共2页
Journal of Laparoscopic Surgery
关键词
疝
腹股沟
腹腔镜
Hernia,inguinal
Laparoscopy
作者简介
张志勇（1969-）男，株洲三三一医院微创外科主任，副主任医师，主要从事腹腔镜外科的研究。
