腹膜外腹腔镜疝气修补术与传统疝修补术的临床效果比较

Comparative on the clinical effect of extraperitoneal laparoscopic hernia repair and traditional hernia repair

目的对比分析传统疝修补术与腹膜外腹腔镜疝气修补术临床效果。方法回顾性分析2012年5月~2014年9月期间来我院治疗的腹股沟疝患者130例,按照治疗方法分为研究组和对照组各65例,对照组行传统疝修补术,研究组行腹膜外腹腔镜疝气修补术,比较两组手术相关指标、疼痛评分、并发症及复发情况。结果研究组患者手术时间、术后离床活动时间、住院时间与对照组比较均明显较短,术中出血量明显少于对照组（P〈0.05）。研究组术后1、3、7 d的疼痛评分明显低于对照组（P〈0.05）。研究组的并发症发生率、复发率明显低于对照组（P〈0.05）。结论腹膜外腹腔镜疝气修补术效果显著,可缩短手术时间、减少术中出血量及住院时间,患者的疼痛感明显减轻,可明显降低复发率,有较高的安全性,效果明显优于传统疝修补术,可在临床推广应用。

Objective To compare the clinical effect of traditional hernia repair with extraperitoneal laparoscopic hernia repair. Methods A total of 130 cases with inguinal hernia selected from May 2012 to September 2014 in our hospital were retrospective analyzed, all the patients were divided into two groups according to treatment methods, there were65 cases in the study group and the control group, repectively, the control group was treated with traditional hernia repair, the study group was treated with laparoscopic hernia repair extraperitoneal, the surgery-related indicators,pain score, complications and recurrence rate of two groups were compared. Results The operative time, postoperative ambulation time, hospital stay of the study group were significantly shorter than the control group,the blood loss was significantly less than the control group, there were significant differences between two groups（P 0.05）. The pain scores of the study group after 1 d, postoperative 3 d, postoperative 7 d were significantly lower than the control group,there were significant differences between two groups（P〈0.05）. The complication rate, recurrence rate of the study group was significantly lower than the control group, there were significant differences between two groups（P〈0.05）. Conclusion The clinical effect of the extraperitoneal laparoscopic hernia repair is significant good, it can shorten the operation time and reduce blood loss and hospital stay, significantly reduce pain in patients, can significantly reduce the relapse rate, has a higher security, it is better than the traditional hernia repair, it is can be clinical application.