目的:比较两种手术方法治疗双侧腹股沟斜疝的效果.方法:病例随机分为A、B组,A组48例为腹腔镜组,B组39例为单切口手术组.比较两组病例手术时间,术中出血量,术后恢复情况(包括术后恢复时间,术后并发症记录,术后肿胀时间、切口感染、血肿、切口疝、缺血性睾丸炎,术后复发率).结果:两组病人的手术时间、术中出血量、手术切口长度的差异均有统计学意义(P<0.05),而术后并发症方面,两组病人的复发率的差异无统计学意义(P>0.05).结论:腹腔镜手术治疗双侧腹股沟斜疝在手术时间,手术出血量方面明显优于传统耻骨上单切口,同时不增加术后并发症.%Objective: To compare the effect of two surgical methods for bilateral inguinal hernia. Method: The patients were randomly divided into group A and B, group A for the laparoscopic group( n = 48 ), group B for the single-incision surgery( n = 39 ). Compared two groups of the surgical time, blood loss and postoperative recovery, including postoperative recovery time, postoperative complications, and postoperative swelling, wound infection, hematoma, incisional hernia, ischemic orchitis after surgery relapse rate. Result: Operative time, blood loss, incision length differences were statistically significant between two groups ( P 〈0. 05 ), while no significant differences in postoperative complications ( P〉 0. 05 ). Conclusion: The laparoscopic treatment for bilateral inguinal hernia in the operative time, operative bleeding was significantly better than traditional suprapubic single incision, without increasing postoperative complications.
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