不同手术方法治疗腹股沟疝的临床效果观察

Clinical Observation of Different Surgical Strategies in the Treatment of Inguinal Hernia

目的探讨两种不同疝修补术治疗腹股沟疝的临床效果及安全性。方法选取我院2012年5月—2016年9月收治的76例腹股沟疝,根据入院顺序分为对照组与观察组,每组各38例。对照组行疝环充填式无张力疝修补术,观察组行经腹腔腹膜前网片疝修补术,观察两组手术情况、并发症发生及复发情况。结果与对照组比较,观察组术后下床时间早,住院时间短,镇痛药使用情况少,并发生发生率及术后1 d、3 d的视觉模拟评分低,差异均有统计学意义(P<0.05)。结论经腹腔腹膜前网片疝修补术较无张力疝修补术治疗腹股沟疝的临床效果更显著,术后并发症少,复发率低。

Objective To investigate the clinical effect and safety of two different hernia repairs in the treatment of inguinal hernia.Methods Seventy-six patients with inguinal hernia admitted to our hospital from May 2012 to September 2016 were divided into control group(n=38)and observation group(n=38),according to the admission order.Patients in control group underwent hernia ring filling tension-free hernia repair,whereas those in observation group received the transabdominal preperitoneal laparoscopic inguinal herniorrhaphy.The surgical condition the incidence of complications,and recurrence were observed in both groups.Results As compared with control group,patients in the observation group had a significantly shorter time to get out of bed,shorter hospital stay,a decrease in analgesic drug use,and a lower incidence of visual analogue scores at 1 and 3 days after surgery(P<0.05).Conclusion With respect to the treatment of inguinal hernia,the transabdominal preperitoneal laparoscopic