开放式无张力疝修补术与腹腔镜疝修补术在治疗成人腹股沟疝的临床疗效比较

Comparison of open tension-free hernia repair and laparoscopic hernia repair in the treatment of adult inguinal hernia

目的对开放式无张力疝修补术和腹腔镜疝修补术在治疗成人腹股沟疝的临床疗效进行对比。方法以2015年1月至2016年11月,河南省焦作市人民医院普外一区收治的170例成人腹股沟疝患者作为研究对象,将患者分为开放组和腹腔镜组,对2组患者的手术时间、术中出血量、并发症、住院天数、住院费用、术后恢复正常活动时间进行比较。结果两种手术方式在并发症方面比较,差异无统计学意义(P>0.05)。腹腔镜组在术中出血量、住院天数、术后恢复正常时间方面优于开放组,而手术时间长于开放组、住院费用高于开放组,比较差异有统计学意义(P<0.05)。结论两种手术方式均是治疗腹股沟疝的有效方式,都各有优势,需要根据患者的具体情况进行个体化治疗。

Objective To compare the clinical efficacy of open tension-free hernia repair and laparoscopic hernia repair in the treatment of adult inguinal hernia.Methods 170 cases of adult inguinal hernia in Henan Jiaozuo city people′s hospital from January 2015 to November 2016 were enrolled in this study.The patients were divided into laparoscopic group and open group.The operation time, intraoperative blood loss, complications, hospitalization time, hospitalization expenses and postoperative recovery time were compared.Results There was no significant difference in complications between the two groups （P〉0.05）.Laparoscopic group showed better results than open group in terms of the bleeding amount, hospital stay and postoperative recovery time.Compared to open group, the operation time was longer and the hospitalization expenses was higher in laparoscopic group, the differences were statistically significant（P〈0.05）.Conclusion Both two procedures are effective ways for the treatment of inguinal hernia, and each has its own advantages.Individualized treatment should be selected according to the specific situation of patients.