经腹腔镜全腹膜外无张力疝修补术治疗腹股沟疝疗效观察

Observation on the effect of laparoscopic total peritoneal tension-free hernia repair for inguinal hernia

目的:探讨经腹腔镜全腹膜外无张力疝修补术治疗腹股沟疝的临床疗效。方法:收集腹股沟疝患者100例,随机分为对照组和腹腔镜组各50例。对照组患者给予开放式腹股沟疝修补术,腹腔镜组患者则给予经腹腔镜全腹膜外无张力疝修补术,比较两组患者疾病相关参数、相关临床指标、术后并发症与随访结果。结果:腹腔镜组患者术后72hWBC、NEUT%、CRP、Cortisol、IL-6、TNF-α水平、术中失血量、术后疼痛时间、止痛药使用次数、下床时间、正常活动时间、住院时间、正常工作时间、腹股沟异物感消失时间、腹股沟硬结消失时间、腹股沟麻木感消失时间与总体远期并发症发生率均显著性低于对照组,手术时间与医疗费用均显著性高于对照组(P<0.01),差异具有统计学意义;总体术后并发症发生率明显低于对照组(P<0.05),差异具有统计学意义。结论:经腹腔镜全腹膜外无张力疝修补术治疗腹股沟疝的效果显著,具有借鉴意义。

Objective:To investigate the effect of laparoscopic total peritoneal tensionless hernia repair for inguinal hernia.Methods:100 patients with inguinal hernia who were randomly divided into two groups.The patients in the control group received open inguinal hernia repair.The laparoscopic group was given laparoscopic extraperitoneal tension Hernia repair,compared the two groups of patients with disease-related parameters,the relevant clinical indicators,postoperative complications and follow-up results.Results:The levels of WBC,NEUT%,CRP,Cortisol,IL-6,TNF-α,intraoperative blood loss,postoperative pain time,the number of painkillers used,the time of getting out of bed,the time of normal activity,hospitalization time,normal working time,disappearance time of groin foreign body,disappearance time of inguinal staircase,disappearance time of inguinal sensation and general long-term complication were significantly lower than those of control group.The operation time and medical expenses were significantly higher than those of control group(P<0.01).The incidence of postoperative complications was significantly lower than that of the control group(P<0.05).Conclusion:Laparoscopic extraperitoneal tension-free hernia repair is effective in the treatment of inguinal hernia.