腹腔镜与开放式无张力疝修补术治疗成人腹股沟疝效果的系统评价

System Evaluate of Laparoscopic and Open Tension-free Hernia Repair for the Curative Effect of Adult Inguinal Hernia

目的:探讨腹腔镜与开放式无张力疝修补术治疗成人腹股沟疝的临床效果。方法:选取笔者所在医院2012年1月-2016年12月收治的240例腹股沟疝患者,随机分为对照组及观察组,对照组采用开放式无张力疝修补术治疗,观察组采用腹腔镜治疗,对比两组患者的观察指标及并发症发生情况。结果:观察组的术中出血量、手术时间、术后下床活动时间、术后住院时间均优于对照组,同时观察组的并发症发生率为11.7%,明显低于对照组的35.0%,差异均有统计学意义(P<0.05)。结论:实施腹腔镜手术可以提高腹股沟疝患者的治疗效果,缩短手术时间和术后住院时间,减少出血量,降低并发症发生率,值得临床推广使用。

Objective：To study the laparoscopic and open tension-free hernia repair clinical effect for adult inguinal hernia.Method：240 patients with inguinal hernia in our hospital from January 2012 to December 2016 were admitted and randomly divided into control group and observation group,control group adopts open tension-free hernia repair treatment,observation group with laparoscopic treatment,compared two groups of observation indexes and complications.Result：The intraoperative blood loss,operative time,postoperative bed time,postoperative hospital stay in observation group were better than those in control group,while 11.7% incidence of complications in observation group was obviously lower than 35.0% in control group,the differences were statistically significant（P〈0.05）.Conclusion：Laparoscopic surgery can improve the effect of the curative effect of patients with inguinal hernia,shorten the operation time and postoperative hospital stay,less blood loss,reduce the incidence of complications,it is worthy of clinical application.