| 腹腔镜经腹腔腹膜前疝修补术与开放式无张力疝修补术治疗成人腹股沟疝的前瞻性随机对照研究 |
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| 引用本文： | 张东东,李凯,路夷平,刘晨,王桐生,张能维. 腹腔镜经腹腔腹膜前疝修补术与开放式无张力疝修补术治疗成人腹股沟疝的前瞻性随机对照研究[J]. 中国微创外科杂志, 2008, 8(5): 405-407 |
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| 作者姓名： | 张东东 李凯 路夷平 刘晨 王桐生 张能维 |
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| 作者单位： | 北京世纪坛医院疝和腹壁外科中心,北京,100038 |
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| 摘 要： | 目的比较腹腔镜经腹腔腹膜前疝修补术(transabdominal preperitoneal herniorrhaphy,TAPP)与开放式无张力疝修补术治疗成人腹股沟疝的效果。方法采用前瞻性随机对照方法,选择240例患者随机分成TAPP组和开放组,各120例,分别行TAPP和开放式无张力疝修补术。结果2组手术均成功。与开放组相比,TAPP组手术时间长[(77±15)minvs(48±9)min,t=18.147,P=0.000],手术费用高[(7363±351)元vs(4635±242元),t=72.663,P=0.000];但术后开始活动早[(6±1)hvs(10±2)h,t=-19.385,P=0.000],住院时间短[(3±1)dvs(5±1)d,t=-15.300,P=0.000]。2组术后疼痛、并发症、复发率差异无显著性。结论TAPP与开放式无张力疝修补术两种术式均值得临床推广。
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| 关 键 词： | 腹股沟疝 疝修补术 腹腔镜 无张力 |
| 文章编号： | 1009-6604(2008)05-0405-03 |
| 修稿时间： | 2007-04-16 |
Transabdominal Preperitoneal Herniorrhaphy versus Tension-Free Hernioplasty for Inguinal Hernia in Adult Patients: Prospective Randomized Controlled Study |
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| Affiliation: | Zhang Dongdong; Li Kai; Lu Yiping; et al.Department of Hernia And Abdominal Surgery; Beijing Shijitan Hospital; Beijng 100038; China; |
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| Abstract: | Objective To compare the curative effect of tension-free hernioplasty and transabdominal preperitoneal herniorrhaphy(TAPP)in adult patients with inguinal hernia.Methods A prospective randomized controlled study.A total of 240 patients with inguinal hernia were randomly divided into TAPP group and tension-free hernioplasty group(open group),120 patients in each.Results In both the groups,the surgical treatments were completed.The mean operation time in TAPP group was significantly longer than that in open gr... |
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| Keywords: | Inguinal hernia Hernioplasty Laparoscope Tension-free |
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