腹腔镜经腹膜前法使用免钉合3D补片治疗老年腹股沟疝的临床研究

Clinical Analysis of Laparoscopic Treatment of Inguinal Hernia through Transabdominal Preperitoneal Approach Using Free Stapling 3D Mesh in Elderly Patients

目的观察腹腔镜经腹膜前法使用免钉合3D补片在老年腹股沟疝患者中的临床治疗效果。方法选取2015年1月~2016年7月在我院诊治的老年腹股沟疝患者80例.根据治疗方案不同分为对照组和观察组,各40例。对照组采用传统李金斯坦无张力疝修补术治疗,观察组采用腹腔镜经腹膜前法使用免钉合3D补片治疗。结果观察组术后下床时间、住院费用及住院时间,显著少于对照组(P<0. 05 );观察组术后24 h及术后7 d视觉模拟量表(VAS)疼痛评分显著低于对照组(P < 0. 05 );观察组术后并发症发生率显著低于对照组(P<0. 05).结论腹腔镜经腹膜前法使用免钉合3D补片治疗老年腹股沟疝效果理想,安全可靠,能减轻患者术后疼痛。

Objective To observe the clinical outcomes of laparoscopic treatment of inguinal hernia through transabdominal preperitoneal approach using free stapling 3D mesh in elderly patients. Methods 80 elderly patients with inguinal hernia in our hospital between June 2015 and July 2016 were enrolled. The patients were divided into the control group and the observation group according to the treatment methods. The control group was treated with traditional Lichtenstein tension - free hernioplasty. The observation group was treated with laparoscopic repair through transabdominal preperitoneal approach using free stapling 3D mesh. The clinical efficacies in two groups were compared. Results The postoperative ambulation time, length of hospital stay and hospitalization expenses in the observation group were significantly less than those in the control group ( P <0. 05 ). Visual analogue scores ( VAS) after 24 h and 7 d in the observation group were significantly lower than those in the control group ( P < 0. 05 ). The rate of postoperative complication was lower in the observation group than that in the control group ( P < 0. 05 ). Conclusion The laparoscopic repair of inguinal hernia through transabdominal preperitoneal approach using free stapling 3D mesh is effective, safe and reliable in older patients. It can reduce postoperative pain.