腹腔镜与开放式疝修补手术的随机对照分析

Randomized controlled study of laparoscopic and open hernia repair

目的研究腹腔镜与开放性疝修补术的效果差异。方法选取我院从2014年7月~2016年1月收治的84例腹股沟疝患者作为研究对象,并将患者分成腹腔镜组(腹腔镜疝修补术治疗)和开放组(开放式疝修补术治疗),对比分析两组患者的手术时间、并发症发生率、术后疼痛程度、复发率等指标。结果两组患者的手术时间对比差异无统计学意义(P>0.05);腹腔镜组患者术后1d和30d的VAS评分均比开放组低(P<0.05),且术后并发症发生率9.52%低于开放组的30.95%(P<0.05);腹腔镜组患者的住院时间更短(P<0.05)。随访6个月腹腔镜组患者复发率2.38%略低于开放组的4.76%(P>0.05)。结论与常规的开放式疝修补术相比,腹腔镜疝修补术对患者的创伤更小,利于患者术后的恢复,值得推广应用。

Objective To explore the effect difference of laparoscopic and open hernia repair. Methods 84 patients with inguinal hernia cured in our hospital from July 2014 to January 2016 were selected as the study objects. They were divided into laparoscopic group （treated with Laparoscopic hernia repair） and open group （treated with open hernia repair ）.Operation time,complication rate,postoperative pain,recurrence rate and other indicators of the two groups were compared. Results There was no significant difference in operation time between the two groups（P 〉 0.05）.The VAS scores of 1D and 30d in laparoscopic group were lower than those in the open group（P 〈 0.05）. The incidence of postoperative complications in laparoscopic group was 9.52%,which was lower than that of the open group（P 〈 0.05）.The hospitalization time of laparoscopic group was shorter（P 〈 0.05）.After 6 months of follow-up,the recurrence rate of laparoscopic group was 2.38%,which was slightly lower than that of open group with 4.76%（P 〉 0.05）. Conclusion Compared with the conventional open hernia repair,laparoscopic hernia repair for patients has less trauma,conducive to postoperative recovery,and it is worthy of popularization and application.