【摘要】 目的探讨开放切口疝修补术(OVHR)与腹腔镜切口疝修补术(LVHR)的临床疗效。方法回顾性分析大连医科大学附属第一医院腹壁切口疝患者64例的临床资料,其中开放组44例,腹腔镜组20例。结果二组在手术时间、切口感染、血清肿上差异无统计学意义,但腹腔镜组在减少术中出血、缩短住院时间、减轻术后疼痛方面明显优于开放组。腹腔镜组组1例因粘连严重,分离粘连过程中出现肠漏,中转开腹手术。二组均无死亡患者,术后随访3个月至2年,开放组复发3例,腹腔镜组未见复发。结论二种治疗方法同样安全有效,但腹腔镜切口疝修补术具有创伤小、疼痛轻、恢复快、住院时间短等优点。更多还原

【Abstract】 Objective To explore the open incisional hernia repair (OVHR) and clinical effectiveness of laparoscopic incisional hernia repair (LVHR).Methods A retrospective analysis of 64 patients with abdominal wall incisional hernia from the First Hospital Affiliated to Dalian Medical University was initiated including 44 cases in the open group and 20 cases in the laparoscopic group.Results No significant difference in operation time,wound infection,and seromas was observed.However,blood loss reduction,hospital stay,post-operative pains in the laparoscopic group were significantly superior to the open group.One case of serious adhesion,leaky gut in the process of separation in the laparoscopic group was found and was transferred to open surgery.No death was observed and in the 3-month to 2-year postoperative follow-ups,there were 3 relapsed cases and no recurrence was in the laparoscopic group.Conclusions Both of treatments are safe and effective,but laparoscopic incisional hernia repair owns the strengths of fewer traumas,less pain,rapid recovery with shorter hospital stays.更多还原