[1]任同良.腹腔镜疝修补术与开腹手术治疗腹部手术后腹壁切口疝疗效比较[J].新乡医学院学报,2017,34(2):151-153.[doi:10.7683/xxyxyxb.2017.02.019]
 REN Tong-liang.Comparison of the effect of laparoscopic herniorrhaphy and laparotomy in the treatment of incisional hernia of abdominal wall after abdominal operation[J].Journal of Xinxiang Medical University,2017,34(2):151-153.[doi:10.7683/xxyxyxb.2017.02.019]
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腹腔镜疝修补术与开腹手术治疗腹部手术后腹壁切口疝疗效比较
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
34
期数:
2017年2
页码:
151-153
栏目:
临床研究
出版日期:
2017-02-05

文章信息/Info

Title:
Comparison of the effect of laparoscopic herniorrhaphy and laparotomy in the treatment of incisional hernia of abdominal wall after abdominal operation
作者:
任同良
(商丘市第四人民医院普通外科,河南 商丘 476000)
Author(s):
REN Tong-liang
(Department of General Surgery,the Fourth People′s Hospital of Shangqiu City,Shangqiu 476000,Henan Province,China)
关键词:
腹腔镜切口疝疝修补术腹部手术
Keywords:
laparoscopeincisional herniaherniorrhaphyabdominal operation
分类号:
R656.2
DOI:
10.7683/xxyxyxb.2017.02.019
文献标志码:
A
摘要:
目的 比较腹腔镜疝修补术与开腹手术治疗腹部手术后腹壁切口疝的临床效果。方法 选取2012年8月至2015年12月商丘市第四人民医院收治的腹部手术后并发腹壁切口疝患者76例,根据治疗方法分为腹腔镜手术组(40例)和开腹手术组(36例),腹腔镜手术组患者给予腹腔镜腹壁切口疝修补术治疗,开腹手术组患者给予传统的开腹手术治疗,比较2组患者术中出血量、手术时间、下床活动时间、肠鸣音恢复时间、首次进食时间、肠功能恢复时间、切口愈合时间、住院时间及并发症发生率。结果 腹腔镜手术组和开腹手术组患者术中出血量分别为(10.36±3.46)、(45.95±15.77)mL,腹腔镜手术组患者术中出血量显著少于开腹手术组(P<0.05);腹腔镜手术组和开腹手术组患者手术时间分别为(152.03±24.78)、(145.36±17.54)min,2组患者手术时间比较差异无统计学意义(P>0.05)。腹腔镜手术组患者下床活动时间、肠鸣音恢复时间、首次进食时间、肠功能恢复时间、切口愈合时间、住院时间均显著短于开腹手术组(P<0.05)。腹腔镜手术组和开腹手术组患者术后并发症发生率分别为5.0%(2/40)、33.3%(12/36),腹腔镜手术组患者术后并发症发生率显著低于开腹手术组(P<0.05)。结论 腹腔镜腹壁切口疝修补术治疗腹壁切口疝具有创伤小、术中出血量少、术后患者恢复快、住院时间短、并发症少等优点。
Abstract:
Objective To compare the clinical effect of laparoscopic herniorrhaphy and laparotomy in the treatment of incisional hernia of abdominal wall after abdominal operation.Methods A total of 76 patients with incisional hernia of abdominal wall after abdominal operation were selected in the Fourth People′s Hospital of Shangqiu City from August 2012 to February 2015.All patients were divided into laparoscopic operation group (n=40) and laparotomy group (n=36) according to the treatment methods.The patients in the laparoscopic operation group were treated with laparoscopic herniorrhaphy,and the patients in the laparotomy group were treated with traditional laparotomy.The intraoperative blood loss volume,operation time,out-of-bed activity time,borborygmus recovery time,the first feeding time,gastrointestinal function recovery time,wound healing time,hospitalization time and the incidence of complications were compared between the two groups.Results The intraoperative blood loss volume in laparoscopic operation group and laparotomy group was (10.36±3.46) and (45.95±15.77)mL respectively,the intraoperative blood loss volume in the laparoscopic operation group was significantly less than that in the laparotomy group(P<0.05).The operation time in laparoscopic operation group and laparotomy group was (152.03±24.78) and (145.36±17.54)min respectively,there was no significant difference in the operation time between the two groups(P>0.05).The operation time,out-of-bed activity time,borborygmus recovery time,the first feeding time,gastrointestinal function recovery time,wound healing time and hospitalization time in laparoscopic operation group were significantly shorter than those in laparotomy group(P<0.05).The incidence of complications in laparoscopic operation group and laparotomy group was 5.0%(2/40) and 33.3%(12/36) respectively,the incidence of complications in laparoscopic operation group was significantly lower than that in laparotomy group(P<0.05).Conclusion Laparoscopic herniorrhaphy in the treatment of incisional hernia of abdominal wall has the advantages of less trauma,less intraoperative blood loss,faster postoperative recovery,shorter hospitalization time and less complication.

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更新日期/Last Update: 2017-02-05