腹腔镜下腹股沟疝修补术治疗成人腹股沟疝的疗效及并发症

Clinical effect and complication of laparoscopic inguinal hernia repair in the treatment of adult inguinal hernia

目的探讨腹腔镜下腹股沟疝修补术治疗成人腹股沟疝的临床疗效及并发症。方法选取2014年1月至2015年1月本院收治的成人腹股沟疝患者128例,采取数字表随机分组方法分成观察组、对照组各64例,对照组给予传统开放式无张力疝修补术治疗,观察组给予腹腔镜下腹股沟疝修补术治疗,比较两组患者临床疗效及并发症情况。结果对照组的手术时间、手术出血量均显著长于、多于观察组,手术费用显著低于观察组,P<0.05有统计学意义;对照组住院时间、术后进食时间、下床活动时间均显著长于观察组,P<0.05,有统计学意义;观察组复发率低于对照组,但无统计学意义P>0.05;且切口疼痛、血肿发生率显著低于对照组,P<0.05。结论腹腔镜下腹股沟疝修补术较传统开放式无张力疝具有切口小、出血量小、恢复快、复发率低、安全性高的特点,值得临床推广。

Objective To probe into the clinical effects and complication of laparoscopic inguinal hernia repair in the treatment of adult inguinal hernia. Methods 128 cases of adult inguinal hernia patients who accepted treatments in our hospital during January 2014 and January 2015 were selected, and they were divided into the observation group and the control group by the digital table random grouping methods, with 64 cases in each group. In the control group patients were treated with traditional open tension-free hernia repair treatment, while in the observation group patients were given laparoscopic inguinal hernia repair for treatment. Then, the clinical efficacy and complications of the two groups of patients were compared. Results The operation time in the control group was significantly longer than that in the observation group, the amount of bleeding was significantly more than that in observation group, the operation cost was significantly lower than the observation group,P〈0.05, there were statistical significance. The hospitalization time, eating time after operation and time get out of bed activity in control group were significantly longer than those in the observation group,P〈0.05, there were statistical significance. The recurrence rate in the observation group was lower than that of the control group, P〈0. 05. The incision pain, the incidence rate of hematoma in observation group were significantly lower than those in the control group, P〈 0. 05. Conclusions Compared with the traditional open tension free hernia, the laparoscopic inguinal hernia repair has the characteristics of small incision, small amount of bleeding, fast recovery, low recurrence rate and high safety, it is worthy to be applied in the clinical.