腹腔镜下疝修补术的疗效分析

Clinical Analysis of Laparoscopic Herniorrhaphy

目的探究腹腔镜下疝修补术与开放式无张力疝修补术的疗效。方法选取我院收治的90例成人腹股沟疝患者,依据患者不同的手术方法进行分组,将选用开放式无张力疝修补术治疗的患者(45例)作为对照组,将选用腹腔镜下疝修补术治疗的患者(45例)作为观察组。对两组手术情况进行对比。结果观察组手术时间、术中出血量、术后VAS评分与住院时间与对照组相比,差异有统计学意义(P <0.05);观察组在并发症发生率,疼痛持续时间及恢复正常活动时间均优于对照组,差异有统计学意义(P <0.05)。结论在腹股沟疝患者治疗中,腹腔镜下疝修补术在手术时间、术中出血、术后疼痛持续时间及住院时间等方面取得理想成效,并且并发症发生率较低,对患者正常活动的恢复有促进作用。

Objective To explore the efficacy of laparoscopic hernia repair and open tension-free hernia repair.Methods 90 adult patients with inguinal hernia were selected in our hospital and divided into two groups according to different surgical methods.The patients who were treated with open tension-free hernioplasty(45 cases)were selected as the control group and the patients who were treated with laparoscopic hernioplasty(45 cases)as the observation group.The two groups were compared.Results The operation time,the bleeding volume during operation,VAS score after operation and hospitalization time of observation group were significantly different from that of control group(P<0.05);the complication rate,pain duration and recovery time of normal activity of observation group were better than those of control group.The difference was statistically significant(P<0.05).Conclusion In the treatment of inguinal hernia patients,laparoscopic hernioplasty has achieved ideal results in terms of operation time,intraoperative bleeding,postoperative pain duration and hospitalization time,and the incidence of complications is low,which can promote the recovery of patients'normal activities.