腹腔镜腹股沟疝修补与开放性腹股沟疝修补的疗效对比

Comparison of curative effects between laparascopic inguinal hernia repair and developmental inguinal hernia repair

目的研究腹腔镜腹股沟疝修补术和开放性腹股沟修补术治疗腹股沟疝的临床治疗效果。方法 62例腹沟股疝患者作为研究对象,根据治疗方法不同分为观察组与对照组,每组31例。观察组采用腹腔镜腹股沟疝修补术(TAPP)治疗,对照组采用开放性腹股沟疝修补术治疗,对两组患者的手术时间、住院时间,以及术后复发、疼痛、感染等不良事件的发生情况进行观察并比较。结果采用腹腔镜腹股沟疝修补术治疗的观察组患者手术时间为(78.1±11.6)min,显著高于对照组的(63.6±8.7)min,但观察组患者住院时间为(6.4±2.2)d,明显短于对照组的(8.2±2.6)d,两组比较差异均具有统计学意义(P<0.05)。在为期18个月的术后随访中,观察组未见复发及术后感染,术后慢性疼痛2例、术后阴囊积液1例;对照组中复发2例、术后慢性疼痛6例、术后阴囊积液3例、术后感染1例;观察组患者复及术后疼痛、感染等不良事件发生率(9.7%)明显低于对照组(38.7%),两组比较差异具有统计学意义(P<0.05)。结论对腹沟股疝患者采用腹腔镜腹股沟疝修补术进行治疗,能够有效提升治疗效果,缩短住院时间,降低复发及术后疼痛等不良事件发生率,具有显著临床优势,值得推广。

Objective To research clinical effects by laparascopic inguinal hernia repair and developmental inguinal hernia repair in the treatment of inguinal hernia. Methods A total of 62 patients with inguinal hernia as study subjects were divided by different treatment measures into observation group and control group, with 31 cases in each group. The observation group received laparascopic inguinal hernia repair （TAPP） for treatment, and the control group received open inguinal hernia repair instead. Observation and comparison was made on operation time, hospital stay time, and incidences of postoperative recurrence, pain, infection as adverse reactions between the two groups. Results Observation group had operation time as （78.1 ± 11.6） min, which was much longer than （63.6 ± 8.7） min in the control group, while its hospital stay time was obviously shorter as （6.4 ±2.2） d than （8.2 ± 2.6） d in the control group. Their differences all had statistical significance （P〈0.05）. Postoperative follow-up for 18 months showed no case with recurrence or postoperative infection, 2 cases with postoperative chronic pain and 1 case with postoperative hydroeele of testes in the observation group. There were 2 recurrence eases, 6 cases with postoperative chronic pain, 3 cases with postoperative hydrocele of testes and 1 case with postoperative infection in the control group. The observation group had much lower incidence of postoperative pain and infection as adverse reactions （9.7%） than the control group （38.7%）, and their difference had statistical significance （P〈0.05）. Conclusion Implement of laparascopic inguinal hernia repair in treating inguinal hernia can effectively improve curative effect, shorten hospital stay time, reduce incidence of recurrence and postoperative pain. This method contains remarkable clinical advantages, and it is worth promoting.