腹腔镜下经腹腔腹膜前疝修补术治疗腹股沟疝效果分析

Efficacy of laparoscopic transabdominal preperitoneal herniorrhphy for inguinal hernia

目的观察腹腔镜下经腹腔腹膜前疝修补术治疗腹股沟疝疗效。方法选择102例腹股沟疝患者按照手术方式分为两组,观察组57例采用经腹腔腹膜前疝修补术,对照组45例采用开放无张力疝修补术,观察两组手术情况和并发症。结果与对照组比较,观察组手术时间较长、住院费用较高,术中出血量较少,术后下床时间、住院时间较短(P均<0.01)。观察组发生切口感染、术后疼痛发生率均明显低于对照组(P<0.05)。结论腹腔镜下经腹腔腹膜前疝修补术治疗腹股沟疝效果明显,安全,无明显的并发症。

Objective To observe the efficacy of laparoscopic transabdominal preperitoneal herniorrhphy for inguinal hernia. Methods One hundred and two patients with inguinal hernia were divided into two groups according to the different operation modes. The observation group was treated with laparoscopic transabdominal preperitoneal herniorrhphy and the control group was treated with open tension-free hernioplasty. The surgery results and complications were observed and compared between the two groups. Results The operation time,hospitalization expenses and the amount of bleeding in the observation group were significantly higher than those in the control group（ P〈0. 05）.The postoperative activity time and hospitalization time in the observation group were significantly lower than those in the control group（ P〈0. 05）. The incidence of postoperative pain in the observation group was significantly lower than that in the control group（ P〈0. 05）. Conclusion Laparoscopic transabdominal preperitoneal herniorrhphy is effective and safe,without obvious complications for inguinal hernia.