经腹膜腹腔镜无张力疝修补术治疗老年复发性腹股沟疝的效果观察

The observation of the effect for transperitoneal laparoscopic tension-free hernia repair in the treatment of elderly patients with recurrent inguinal hernia

目的为了进一步研究和比较在临床治疗老年复发性腹股沟疝实践过程中采用腹腔镜修补术治疗方法与采用传统开放修补术治疗方法的临床治疗效果上的差异,从而为临床老年复发性腹股沟疝的治疗实践提供依据。方法本文选取了2010年12月—2012年12月期间我院收治的204例老年复发性腹股沟疝患者为研究对象进行了回顾性的分析和研究。结果①两组患者实施不同临床手术治疗方法后,在手术时间上组间比较,腹腔镜修补术组患者明显长于传统开放修补术组患者水平,且P<0.05,差异具有统计学意义;②在术后下床活动时间和住院时间上组间比较,腹腔镜修补术组患者明显短于传统开放修补术组患者水平,且P均<0.05,差异具有统计学意义;③术后并发症率和复发率组间比较,腹腔镜修补术组患者水平显著地低于传统开放修补术组患者水平,且P<0.05,差异具有统计学意义。结论在临床针对老年复发性腹股沟疝的相关研究实践过程中,采用经腹膜腹腔镜无张力疝修补术治疗方法的临床治疗效果显著,是临床治疗老年复发性腹股沟疝的可靠选择。

Objective To further study and compare the differences of the clinical effect for laparoscopic repair and open repair in the treatment of elderly patients with recurrent inguinal hernia in practice, so as to provide the basis for clinical elderly patients with recurrent inguinal hernia treatment practice. Methods 204 elderly patients with recurrent inguinal hernia during the period from December 2010 to December 2012 were chosen as the research object. They were taken for research and analysis. Results ①After the implementation of different clinical treatment methods in the two groups, compared in the operation time between groups, laparoscopic repair group was significantly longer than the level of the traditional open repair group, and P〈0.05, the difference was statistically significant; ②In the postoperative ambulation time and hospitalization time, compared between groups, laparoscopic repair group was significantly shorter than the level in the patients of the conventional open repair group, and P〈0.05, the difference was statistically significant; ③The postoperative complication rate and recurrence rate compared between the two groups, laparoscopic repair group was significantly lower than the level of the traditional open repair group, and P〈0.05, the difference was statistically significant. Conclusion In the clinical research practice for elderly patients with recurrent inguinal hernia, the clinical therapeutic effect of transperitoneal laparoscopic treatment method without tension hernia repair is significant, and it is the reliable choice of elderly patients with recurrent inguinal hernia.