腔镜下全腹膜外腹股沟疝修补术治疗复发性腹股沟疝的效果分析

Effect analysis of laparoscopic total extraperitoneal inguinal hernia repair in the treatment of recurrent inguinal hernia

目的探讨腔镜下全腹膜外腹股沟疝修补术治疗复发性腹股沟疝的临床疗效。方法选取2015年9月~2017年3月我院收治的复发性腹股沟疝患者41例作为研究对象,采用奇偶数随机分组的方式将其分为对照组20例、实验组21例。对照组患者实施常规补片无张力修补术治疗,实验组患者实施腔镜下全腹膜外腹股沟疝修补术进行治疗,比较两组复发性腹股沟疝患者治疗后的临床治疗效果。结果实验组患者的镇痛药物使用率、术后并发症发生率显著低于对照组,差异均有统计学意义(P<0.05)。实验组患者的手术时间、术后下床时间、术后疼痛时间均短于对照组,且实验组患者术中出血量明显少于对照组,差异均有统计学意义(P<0.05)。结论针对复发性腹股沟疝患者实施腔镜下全腹膜外腹股沟疝修补术治疗的效果较好,患者手术创伤较小,降低术后并发症发生率,患者术后下床时间早,利于术后恢复及预后。

Objective To investigate the clinical effect of laparoscopic total extraperitoneal inguinal hernia repair in the treatment of recurrent inguinal hernia. Methods Forty-one patients with recurrent inguinal hernia admitted to our hospital from September 2015 to March 2017 were selected as the research objects. they were randomly divided into control group（n=20） and experimental group（n=21） by odd-even number. Patients in the control group were treated with conventional patch tension-free hernioplasty while patients in the experimental group were treated with laparoscopic total extraperitoneal inguinal hernia repair. the clinical therapeutic effects of the two groups of patients with recurrent inguinal hernia after treatment were compared. Results The utilization rate of analgesic drugs and the incidence of postoperative complications in the experimental group were significantly lower than those in the control group, and the differences were statistically significant（P〈0.05）. The operation time, postoperative bed time and postoperative pain time in the experimental group were shorter than those in the control group, and the bleeding amount in the experimental group was significantly less than that in the control group, the differences were statistically significant（P〈0.05）. Conclusion The effect of laparoscopic total extraperitoneal inguinal hernia repair is good for patients with recurrent inguinal hernia. The patients have less surgical trauma, reduce postoperative complications, and the patients get out of bed early after surgery, which is conducive to postoperative recovery and prognosis.