腹腔镜手术与开放手术治疗腹股沟疝500例临床对比分析

摘要

目的：对腹腔镜辅助手术与开放手术治疗腹股沟疝的临床疗效进行对比分析以及探究。方法：选取2010年1月-2013年9月本院收治的500例腹股沟疝患者作为研究对象，依据患者手术方式的不同将其分为A、B两组，其中A组232例接受开放手术，B组268例行腹腔镜辅助手术，对两组患者治疗的效果进行比较分析。结果：B组的手术时间、疼痛持续时间、止痛剂应用次数、阴囊血肿和切口感染等并发症发生率、术后住院时间等观察指标均明显低于A组，差异均有统计学意义（P<0.05）。结论：对不同年龄段的腹股沟疝患者实施腹腔镜辅助手术治疗具有手术时间短、并发症发生率低、住院时间短、恢复速度快等方面的优点，其在治疗腹股沟疝中的实际治疗效果可靠，值得在临床继续推广和应用。%To explore the clinical effect of laparoscopic assisted surgery and open surgery in the treatment of inguinal hernia.Method:500 cases of inguinal hernia from January 2010 to September 2013 were selected as the research objects,according to the surgery method,the patients were divided into the group A and the group B, 232 cases in the group A were treated with conventional open surgery,268 cases in the group B were given laparoscopic assisted surgery,the effect of two groups was compared.Result:The average operation time,average pain duration, average analgesics application number,scrotal hematoma and infection of incision complications incidence and the erage hospitalization time etc in the group B were significantly lower than that of the group A,the differences between the two groups were statistical significance(P<0.05).Conclusion:For different ages inguinal hernia patients using laparoscopic assisted surgery has a shorter operation time,low incidence of complications and shorter hospitalization time,fast recovery,etc,the advantages of its practical treatment effect in the treatment of inguinal hernia is reliable,and is worth popularizing in clinical application.