| 免钉合补片对腹腔镜下经腹腔腹膜前修补术后并发症的预防效果分析 |
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| 引用本文： | 张建军,刘耀刚,杨志忠,袁启东,李长江.免钉合补片对腹腔镜下经腹腔腹膜前修补术后并发症的预防效果分析[J].中国现代医生,2013,51(1):131-132. |
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| 作者姓名： | 张建军 刘耀刚 杨志忠 袁启东 李长江 |
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| 作者单位： | 张建军 (河南省直第三人民医院普外科,河南郑州,450000)；刘耀刚 (河南省直第三人民医院普外科,河南郑州,450000)；杨志忠 (河南省直第三人民医院普外科,河南郑州,450000)； 袁启东 (河南省直第三人民医院普外科,河南郑州,450000)； 李长江 (河南省直第三人民医院普外科,河南郑州,450000)； |
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| 摘 要： | 目的探讨免钉合补片对腹腔镜下经腹腔腹膜前修补术（TAPP）后并发症的预防。方法选择2011年7月～2012年7月于我院就诊的100例腹股沟疝患者，随机分为对照组50例和实验组50例，对照组采用传统TAPP，实验组采用免钉合补片TAPP。结果实验组手术时间、术后使用止痛药例数、术后疼痛持续时间和手术费用显著低于对照组（P〈0．05）；实验组术后复发例数、疼痛分数和血清肿例数显著低于对照组（P〈0．05）。结论采用免钉合补片预防腹腔镜下经腹腔腹膜前修补术后并发症可以达到较好的效果。
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| 关 键 词： | 免钉合补片 经腹腔腹膜前修补术 腹腔镜 并发症 |
Clinical analysis of non stapling of mesh in preventing complication after transabdominal preperitoneal |
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| Authors: | ZHANG Jianjun LIU Yaogang YANG Zhizhong YUAN Qidong LI Changjiang |
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| Affiliation: | Department of General Surgery of Third People＇s Hospital of Henan Province,Zhengzhou 450000, China |
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| Abstract: | Objective To investigate clinical effect of non stapling of mesh in preventing complications after TAPP. Methods During July 2011 to July 2012, 100 cases were randomly divided into control group （n = 50） and the test group （n = 50）. Control group used traditional TAPP and test group used TAPP with non stapling of mesh. Results Op- erative time, postoperative use of painkillers number of cases, the duration of post-operative pain and cost of surgery of test group were significantly lower than control group （P 〈 0.05）. The recurrent cases after surgery, pain scores and the number of cases of seroma of test group were significantly lower than control group（P 〈 0.05）. Conclusion To use non stapling of mesh in preventing complication after TAPP can achieve a better result. |
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| Keywords: | Non stapling of mesh Transabdominal preperitoneal Laparoscopy Complications |
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