探讨腹腔镜疝修补术治疗成人腹股沟疝的临床疗效

To Explore the Clinical Efficacy of Laparoscopic Hernia Repair in Adult Inguinal Hernia

目的探讨腹腔镜监视下疝修补术在成人腹股沟疝中的应用与临床价值。方法将我院2015年3月至2018年3月收治的112例成人腹股沟疝患者随机平均划入Ⅰ组与Ⅱ组,Ⅰ组接受开放式无张力疝修补术治疗,Ⅱ组在腹腔镜监视下手术,观察评估两组的疝处理情况。结果两组在手术时间上的对比,无统计学意义(P>0.05)。Ⅱ组相对Ⅰ组患者在住院费用上明显增加,在术中出血量上明显减少,在平均住院日、术后下床活动时间上明显缩短,比较有统计学意义(P<0.05)。两组术后均出现阴囊血肿、尿潴留等并发症,但在总发生率方面的对比,无统计学意义(P>0.05)。结论腹腔镜疝修补术的费用较高,但具有术中出血少、术后恢复快及安全性高等特点,在经济条件允许的情况下,可作为处理成人腹股沟疝的首选手术方案。

0bjective To investigate the clinical value of laparoscopic hernia repair in adult inguinal hernia. Methods A total of 112 adult inguinal hernia patients admitted to our hospital from March 2015 to March 2018 were randomized equally to group Ⅰ and Ⅱ . Group Ⅰ received open tension-free hernia repair and group Ⅱ was monitored by laparoscopy. Under the surgery, observe and evaluate the treatment of sputum in the two groups. Results There was no significant difference in the operative time between the two groups （P〉0.05）. In group Ⅱ , there was a significant increase in the cost of hospitalization relative to group Ⅰ patients. The amount of intraoperative blood loss was significantly reduced, and the mean length of hospital stay and postoperative ambulation activity were significantly shorter （P〈0.05）. Postoperative complications such as scrotal hematoma and urinary retention occurred in the two groups, but there was no significant difference in the overall incidence rate （P〉0.05）. Conclusion The cost of laparoscopic hernia repair is high, but it has the characteristics of less intraoperative blood loss, rapid postoperative recovery, and high safety. Under the economic conditions, it can be used as the first choice for surgical treatment of adult inguinal hernia.