腹腔镜全腹膜外腹股沟疝修补术治疗成人腹股沟疝的临床价值

Clinical Value of Laparoscopic Total Extraperitoneal Inguinal Hernia Repair in the Treatment of Adult Inguinal Hernia

目的 观察腹腔镜全腹膜外腹股沟疝修补术治疗成人腹股沟疝患者的临床效果,评价其应用价值。方法 采用前瞻性研究,选取我院自2019年6月至2021年3月收治的成人腹股沟疝患者64例,应用随机数表法分成两组,观察组(n=32)应用腹腔镜全腹膜外腹股沟疝修补术治疗,对照组(n=32)应用传统开放式无张力疝修补术治疗,比较两组术式的临床应用价值。结果 观察组临床总有效率为93.75%,对照组为90.63%,观察组患者临床疗效和对照组比较无差异(P>0.05)。观察组患者住院时间、术后疼痛持续时间均短于对照组,术中出血量少于对照组(P<0.05)。观察组并发症总发生率为3.13%,对照组为18.75%,差异有统计学意义(P<0.05)。术前,两组患者在疼痛和睡眠质量方面没有表现出明显的差异(P>0.05);术后,两组患者的疼痛和睡眠质量均得到改善,但观察组患者的改善效果明显更为理想(P<0.05)。术前,两组患者在生活质量方面没有表现出明显的差异(P>0.05);术后,两组患者的生活质量均得到改善,但观察组患者的改善效果明显更为理想(P<0.05)。结论 腹腔镜全腹膜外腹股沟疝修补术可达到与传统开放式无张力疝修补术一样的效果,并可减轻创伤和疼痛,降低并发症发生率,改善患者的术后疼痛和睡眠质量,提升整体生活质量,具有较高的临床价值。

Objective To observe the clinical effect of laparoscopic total extraperitoneal inguinal hernia repair in the treatment of adult patients with inguinal hernia, and to evaluate its application value. Methods A prospective study was used to select 64 adult patients with inguinal hernia who were treated in our hospital from June 2019 to March 2021. They were randomly divided into two groups by digital table method. The observation group(n=32) was treated with laparoscopic total peritoneum External inguinal hernia repair was performed, and the control group(n=32) was treated with traditional open tension-free hernia repair. The clinical application value of the two groups was compared. Results The total clinical efficacy rate of the observation group was 93.75%, and that of the control group was 90.63%. The clinical efficacy of the patients in the observation group was no different from that in the control group, and the difference was not statistically significant(P>0.05). The patients in the observation group were hospitalized time and duration of postoperative pain were shorter than those in the control group, and the intraoperative blood loss was less than that in the control group(P<0.05). The total incidence of complications in the observation group was 3.13% and 18.75% in the control group, and the difference was statistically significant(P<0.05). Before surgery, there was no significant difference in pain and sleep quality between the two groups of patients(P>0.05).After treatment, the pain and sleep quality of the patients in the two groups were improved, but the improvement effect of the observation group was significantly more ideal(P<0.05). Before the operation, the quality of life of the two groups of patients was improved, and the difference no significant difference(P>0.05). Before surgery, there was no significant difference in quality of life between the two groups(P>0.05), and after surgery, the quality of life of both groups was improved, but the improvement effect of patients in the observation group was significantly more satisfactory(P<0.05).Conclusion Laparoscopic total extraperitoneal inguinal hernia repair can achieve the same effect as traditional open tension-free hernia repair, and can reduce trauma and pain, reduce the incidence of complications, improve postoperative pain and sleep quality, and improve The overall quality of life has high clinical value.