腹腔镜和开放腹腔修复后的生活质量:一个前性比较队列研究
Lawa Kumar Mandal1, Pawan Sapkota Upadhya1, Prajjwol Luitel2
1Department of General Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal.
Journal of minimal access surgery
|September 18, 2025
概括
腹腔镜腹修复 (LVHR) 通过减少早期手术后的疼痛和运动限制,提供了比开放腹修复 (OVHR) 更好的生活质量. 这使得LVHR成为寻求改善功能结果的患者的有效替代方案.
科学领域:
- 外科手术的结果
- Hernia 修复技术 的修复技术
- 生活质量评估生活质量的评估.
背景情况:
- 在修复后,越来越重视功能结果和生活质量 (QOL).
- 需要比较腹腔镜腹腔修复 (LVHR) 和开放腹腔修复 (OVHR) 之间的QOL.
研究的目的:
- 评估和比较接受LVHR和OVHR的尼泊尔患者的QOL.
- 评估手术后的疼痛,网状感觉和前3个月的运动限制.
主要方法:
- 这是一项前性医院研究,涉及70名患者 (35名LVHR,35名OVHR).
- 使用Carolina的舒适度表在手术后2周,1个月和3个月评估QOL.
- 评估疼痛,网状感觉和运动限制.
主要成果:
- 对于LVHR患者来说,手术时间显著延长.
- OVHR的伤口感染率和排水使用率更高.
- 与OVHR相比,LVHR表现出手术后疼痛和运动限制的减少,特别是在曲和运动期间.
结论:
- 腹腔镜内修复是开放修复的有效替代方案.
- LVHR导致早期手术后疼痛减少和改善功能结果.
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