腹腔镜完全腹膜外腹股沟疝修补术治疗腹股沟疝的临床效果

Clinical Efficacy of Laparoscopic Total Extraperitoneal Inguinal Hernia Repair

目的探讨腹腔镜完全腹膜外腹股沟疝修补术治疗腹股沟疝患者的临床效果。方法选取66例腹股沟疝患者,按随机数字表法分为观察组(n=33)和对照组(n=33)。对照组采用开放式无张力疝修补术,观察组采用腹腔镜完全腹膜外腹股沟疝修补术。分别对2组患者的术后并发症发生情况以及手术相关指标(手术时间、术中出血量、住院时间以及下床活动时间)进行评估和比较。结果观察组的并发症发生率低于对照组(P<0.05);观察组手术时间、住院时间、下床活动时间短于对照组,术中出血量少于对照组(均P<0.05)。结论两种手术方式治疗腹股沟疝均安全有效,腹腔镜完全腹膜外腹股沟疝修补术后并发症概率和手术创伤更小,且恢复速度更快。

Objective T o in v e s t ig a te th e clinical effect of lap aro sco pic to ta l e x t ra p e r i to n e a l in -guinal hernia repair（LTEIHR） on inguinal hernia. Methods S ix ty - s ix p a t ie n ts w i th ing u in al h e r -nia were randomly assigned to receive either open tension-free hernioplasty（control group,n = 33） or LTEIHR（observation group,n = 33）. Postoperative complications and operation-related indica-tors （operation time, intraoperative blood loss, hospital stay and time to off-bed activity） were compared between the two groups. Results Compared w i th open ten s io n - f re e h e rn io p la s ty , LTEIHR decreased the incidence of complications and amount of intraoperative bleeding and shortened the operation time,length of hospital stay and time to off-bed activity（P〈C0. 05）. Con-clusion Both open tens ion- f ree hernioplas ty and LTEIHR are safe and effective for inguinal her -nia. However, LTEIHR is superior to open tension-free hernioplasty for reducing postoperative complications and surgical trauma and promoting recovery.