开放腹膜前修补术与经腹腹膜前修补术治疗腹股沟疝的疗效比较

Clinical comparison of open preperitoneal herniorrhaphy and trans-abdominal preperitoneal repair for inguinal hernia

目的比较开放腹膜前修补术与经腹腹膜前修补术治疗腹股沟疝的效果。方法回顾性分析2019年10月至2021年11月北京市垂杨柳医院收治的202例腹股沟疝患者临床资料,分为开放组122例,腔镜组80例,比较2组病例一般资料、手术时间、术中出血量、住院时间、住院费用、疼痛程度及术后并发症情况。结果2组患者的手术时间、术中出血量、住院时间、术后1个月疼痛程度及术后并发症差异均无统计学意义(P>0.05);腔镜组术后第1天、第7天疼痛程度明显轻于开放组(P<0.001),腔镜组住院费用明显高于开放组(P<0.001)。结论开放腹膜前修补术与经腹腹膜前修补术均可有效治疗腹股沟疝,后者疼痛更轻、恢复更快。

Objective To compare the effect of open preperitoneal herniorrhaphy and trans-abdominal preperitoneal repair in the treatment of inguinal hernia.Methods The clinical data of 202 inguinal hernia patients from October 2019 to November 2021 in Beijing Chuiyangliu Hospital were retrospectively analyzed.Patients were divided into open group(n=122)and laparoscopic group(n=80).The general characteristic,operation time,intraoperative blood loss,pain degree,length of hospital stay,hospitalization cost and postoperative complications were compared between the two groups.Results There was no significant difference in operation time,intraoperative blood loss,length of hospital stay,pain degree in the first month after surgery,and postoperative complications between the two groups(P>0.05).The pain degree on the 1st and 7th day after operation in the laparoscopic group was significantly lower than that in the open group(P<0.001),and the hospitalization cost in the laparoscopic group was significantly higher than that in the open group(P<0.001).Conclusion Both open preperitoneal herniorrhaphy and trans-abdominal preperitoneal repair can effectively treat inguinal hernia.The latter has less pain and faster recovery.