改良腹腔镜全腹膜外疝修补术治疗腹股沟疝的临床研究

Clinical Study on Modified Laparoscopic Total Extraperitoneal Prosthesis in Treatment of Inguinal Hernia

目的分析改良腹腔镜全腹膜外疝修补术治疗腹股沟疝的临床研究。方法随机抽取于2015年1月—2016年2月在该院接受治疗的100例腹股沟疝患者作为观察对象进行分析,将患者进行分组,即观察组(n=50例,改良腹腔镜全腹膜外疝修补术)和对照组(n=50例,开放性全腹膜外疝修补术)。对比两组患者的手术相关指标、不良反应发生率、复发率。结果观察组的不良反应发生率较对照组较低(4.00%vs 20.00%)(P<0.05);两组患者的手术时间差异无统计学意义(P>0.05);观察组的VAS、下床时间、住院时间平均值均显著小于对照组(P<0.05)。结论改良腹腔镜全腹膜外疝修补术治疗腹股沟疝患者,效果显著,安全系数高,此法值得推广使用。

Objective To analyze the modified laparoscopic total extraperitoneal prosthesis in treatment of inguinal hernia.Methods 100 cases of patients with inguinal hernia treated in our hospital from January 2015 to February 2016 were selected as the observation objects and divided into two groups with 50 cases in each,the observation group adopted the modified laparoscopic total extraperitoneal prosthesis,while the control group were treated with open totally extraperitoneal hernia repair,and the operative related indicators,incidence rate of adverse reactions and recurrence rate were compared between the two groups.Results The incidence rate of adverse reactions in the observation group was lower than that in the control group(4.00%vs 20.00%),(P<0.05),and the difference in the operation time between the two groups was not statistically significant(P>0.05).The mean value of VAS,lower bed time and hospitalization time in the observation group was significantly lower than that in the control group(P<0.05).Conclusion The effect of modified laparoscopic total extraperitoneal prosthesis in treatment of inguinal hernia is obvious with high safety,and it is worth promotion and application.