腹腔镜疝修补术与开放无张力疝修补术应用于腹股沟疝的疗效比较

The Comparison of Laparoscopic Hernioplasty and Tension-free Herniorrhaphy in the Application of Inguinal Hernia

目的探讨腹腔镜疝修补术与开放无张力疝修补术治疗成人腹股沟疝的临床疗效。方法 86例成人腹股沟疝患者随机分成观察组和对照组,观察组行腹腔镜疝修补术,对照组行无张力疝修补术。比较两组患者术后一般情况及术后并发症、复发情况等。结果观察组与对照组手术时间,术后阴囊血肿、尿潴留、复发率比较,差异无统计学意义(P>0.05);观察组术中出血量明显低于对照组,恢复正常活动时间、疼痛持续时间及住院时间观察组明显短于对照组,且观察组术后切口感染率及并发症总发生率明显低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜疝修补术与开放无张力疝修补术应用于治疗成人腹股沟疝均是安全有效的,而腹腔镜疝修补术更具有优势。

Objective To explore the clinical effect of laparoscopic hernioplasty and tension-free herniorrhaphy of treated inguinal hernia. Methods86 cases of adult inguinal hernia were randomly divided into observation group and control group. The observation group was take laparoscopic hernioplasty and control group for tension-free herniorrhaphy. The general condition, postoperative complications and recurrence were compared after operation.Results The difference was not statistically signiifcant of operative time, scrotal edema, urinary retention and recurrence rate between observation group and control group, the difference was not statistically significant （P〉0.05）. Amount of bleeding during operation in observation group was significantly lower than control group. The rate of incision infection and operative complication rate was lower than control group. Signiifcant difference between the two groups has statistical signiifcance （P〈0.05）.ConclusionLaparoscopic hernioplasty and tension-free herniorrhaphy in the application of inguinal hernia were safe and effective but laparoscopic hernioplasty had more advantages.