ABSTRACT
Objective To compare the clinical effect of laparoscopic transabdominal preperitoneal prosthesis (TAPP) and Lichtenstein herniorrhaphy in the treatment of inguinal hernia.Methods A total of 224 patients with inguinal hernia were selected from January 2014 to May 2016 in Huanggang Central Hospital.Among the patients,108 patients were treated with laparoscopic TAPP (TAPP group),and 116 patients were treated with Lichtenstein herniorrhaphy (Lichtenstein group).The operation time,intraoperative bleeding volume,postoperative hospitalization time,the first postoperative eating time,the first ambulation time after operation,treatment cost,the incidence of postoperative complications and the recurrence rate of inguinal hernia were compared between the two groups.Results The operation time,the first postoperative feeding time,the first ambulation time after operation,postoperative hospitalization time in the TAPP group were significantly shorter than those in the Lichtenstein group (P ＜ 0.05).The treatment cost in the TAPP group was significantly higher than that in the Lichtenstein group (P ＜ 0.05).There was no significant difference in intraoperative bleeding volume between the two groups (P ＞ 0.05).The incidence of complications in TAPP group and Lichtenstein group was 2.78 ％ (3/108) and 4.31％ (5/116) respectively,there was no significant difference in the incidence of complications between the two groups (x2 =0.381,P ＞ 0.05).There was no recurrence of inguinal hernia in the two groups.Conclusion Compared with Lichtenstein herniorrhaphy,laparoscopic TAPP for inguinal hernia has less trauma,shorter operation time,quicker recovery and higher treatment cost.
ABSTRACT
<p><b>OBJECTIVE</b>To observe the clinical effect of hemiplegic muscle spasticity treated with acupuncture on different acupoints in combination with rehabilitation.</p><p><b>METHODS</b>Ninety cases of post-stroke muscle spasticity were randomized into a corresponding and central axis acupuncture group (group A), a conventional acupuncture group (group B) and a rehabilitation group (group C), 30 cases in each one. In group A, the acupoints on the Governor Vessel were mainly selected, as well as those on Hand-Shaoyang meridian and Foot-Taiyang meridian. In group B, the conventional needling and rehabilitation training were applied in combination, of which, the acupoints were mainly from Hand and Foot-Yangming meridians, associated with the acupoints of Shaoyang meridian. In group C, only rehabilitation training was applied. The assessments according to modified Ashworth scale and CSS score were performed before treatment, after 2 weeks and 4 weeks treatment respectively.</p><p><b>RESULTS</b>The level of modified Ashworth scale of the flexor of elbow and wrist was reduced apparently after treatment in group A as compared with that before treatment (P < 0.01). The level of modified Ashworth scale of the flexor of elbow was reduced apparently after treatment in group C as compared with that before treatment (P < 0.05). There was significant difference on the level change in modified Ashworth scale for the flexor of elbow between group A and group C after 4 weeks treatment (P < 0.05). CSS score decreased significantly in group A as compared with that before treatment (P < 0.01), the improvement after treatment in group A was apparent as compared with the other two groups (P < 0.01).</p><p><b>CONCLUSION</b>The corresponding and central axis acupuncture can improve muscle tone of hemiplegic limb, which is superior to the effect achieved by the conventional acupuncture in combination with rehabilitation training and the simple rehabilitation training.</p>