复发性腹股沟疝微创治疗的不同术式及疗效比较

Curative effects of different mini-invasive operative procedures for the treatment of patients with recurrent inguinal hernia

目的研究复发性腹股沟疝行腹腔镜完全腹膜外疝修补术和开放性无张力疝修补术的疗效。方法收集2010年5月至2014年6月确诊为复发性腹股沟疝患者40例,采用随机数字表法分为观察组(20例)和对照组(20例);观察组采取腹腔镜完全腹膜外疝修补术,对照组采取开放性无张力疝修补术,对比两组患者的手术时间、住院时间、术后下床活动时间和创口麻木疼痛持续时间,以均数±标准差表示,应用t检验;并发症发生率应用χ2检验;采用SPSS18.0统计软件进行统计分析,以P<0.05为差异有统计学意义。结果观察组的住院时间、术后下床活动时间和创口麻木疼痛持续时间明显少于对照组(t=8.669,2.282,5.528),差异具有统计学意义(P<0.05)。并发症发生率:观察组为2例(10.00%),对照组为3例(15.00%),两组比较差异无统计学意义(P>0.05)。结论腹腔镜完全腹膜外疝修补术可明显缩短住院时间,且术后恢复快,下床活动时间早,因此值得在临床上进一步推广应用。

Objective To compare the curative effects of minimally invasive treatment of recurrent inguinal hernia,including laparoscopic totally extraperitoneal hernia repair and open tension-free hernia repair. Methods Fourty patients with recurrent inguinal hernia who had been treated from May 2010 to June 2014 were randomly divided into observation group （20 patients） and control group （20）. In the observation group patients underwent totally extraperitoneal laparoscopic hernia repair, whereas in the control group open tension-free hernia repair was performed. Measurement data on operation time, hospital stay, postoperative ambulation time and the duration of ineisional numbness or pain were expressed as mean ±SD and examined using Student＇ s t test. The complication rates were examined by the Chi-square test. A P value 〈 0.05 was considered statistically significant. Statistical analysis was performed by using the SPSS18. 0 software. Results In the observation group, hospital stay, postoperative ambulation time and the duration of incisional numbness or pain were significantly shorter than those in the control group （ t = 8. 669,2. 282, and 5. 528 respectively） （P 〈 0.05 ）. The complication rates in the treatment group and control group were 10.00% （2/ 20 ） and 15.00% （3/20） respectively, but there was no significant difference between the 2 groups （ P 〉 0. 05 ）. Conclusions Laparoseopic totally extraperitoneal hernia repair could significantly shorten the time of hospitalization with rapid postoperative recovery and early ambulation.