腹腔镜与前入路3DMAX补片修补术治疗腹股沟疝的对比研究

Comparison of abdominal retroperitoneal laparoscopic repair and anterior approach preperitoneal repair in the treatment of inguinal hernia

目的对比分析腹腔镜与前入路3DMAX补片修补术治疗腹股沟疝的临床疗效。方法回顾性分析62例腹股沟疝患者的临床资料,其中32例行经腹腔镜腹膜前修补(腹腔镜组),30例行前入路腹膜前修补(前入路组),术中均应用3DMAX补片。比较两组疗效。结果两组手术时间、并发症、复发率比较,差异无统计学意义(P>0.05);腹腔镜组术中出血、下床时间、疼痛程度、住院时间均少于前入路组(P<0.05)。前入路组平均住院费用多于腹腔镜组(P<0.05)。结论经腹腔镜腹膜前修补术操作简单方便,安全有效,并发症少,创伤轻,恢复快,疗效较前入路组好,特别适合双侧疝及复发疝患者。

Objective To compare and analyze the clinical effect of abdominal retroperitoneal laparoscopic repair and anterior approach preperitoneal repair in the treatment of inguinal hernia. Methods The clinical data of 62 cases with inguinal hernia were retrospectively analyzed, among them, 32 cases were treated with abdominal retroperitoneal laparoscopic repair （laparoscope group ）; another 30 patients were treated with anterior approach preperitoneal repair（ anterior approach group）, and 3DMAX patch was used in all of the operations. Results There were no significant differences in the average operation time, complications and recurrence rate between the two groups （ P 〉 0.05 ）. The intraoperative bleeding, pain degree, ambulation time, hospitalization time of laparoscope group were less than that of anterior approach group （P 〈 0.05） . The average hospitalization expenses of the anterior approach group was more than that of the laparoscope group （P 〈 0.05 ） . Conclusion The operation of retroperitoneal laparoscopic repair is simple and convenient, safe and effective, with less complications, less trauma and faster recovery, better efficacy than anterior approach preperitoneal repair. It＇s especially fit for patients with bilateral hernia and recurrent hernia.