腹腔镜疝修补术对腹股沟斜疝患者术后疼痛、生活质量和性功能影响

Effect of laparoscopic hernioplasty on pain, quality of life and sexual function in patients with indirect inguinal hernia after operation

目的探讨腹腔镜疝修补术对腹股沟斜疝患者术后疼痛、生活质量和性功能的影响。方法纳入腹股沟斜疝患者107例,按照随机表法分为观察组54例与对照组53例。观察组采用腹腔镜疝修补术治疗,对照组采用传统疝修补术。比较两组手术指标变化,术后1d和3d疼痛视觉模拟评分法(VAS法),术前和术后6个月生活质量和性功能改善情况。结果两组手术时间比较差异无统计学意义(P>0.05);观察组术中出血量少于对照组,并发症少于对照组,下床活动时间快于对照组,且住院时间短于对照组(P<0.05)。观察组术后1d和术后3dVAS评分低于对照组(P<0.05)。两组术后6个月心理健康、物质生活状态、躯体健康和社会功能评分增加(P<0.05);观察组术后6个月心理健康、物质生活状态、躯体健康和社会功能评分高于对照组(P<0.05)。两组术后6个月睾丸动脉最大血流速度和睾丸体积较术前降低(P<0.05);观察组术后6个月睾丸动脉最大血流速度和睾丸体积高于对照组(P<0.05)。结论腹腔镜疝修补术对腹股沟斜疝患者效果显著,可明显减轻疼痛,改善患者生活质量,且对性功能影响小,值得临床借鉴。

Objective To investigate the effect of laparoscopic hernioplasty on pain, quality of life and sexual function in patients with indirect inguinal hernia. Methods From March 2016 to March 2018, 107 patients with indirect inguinal hernia admitted to our hospital were randomly divided into observation group (54 cases) and control group (53 cases). The observation group was treated with laparoscopic hernioplasty, while the control group was treated with traditional hernioplasty. The changes of surgical indicators, visual analogue scale (VAS) of pain 1 day and 3 days after operation, the improvement of quality of life and sexual function before and 6 months after operation were compared between the two groups. Results There was no significant difference in operation time between the two groups (P>0.05). The observation group bleeding volume was less than ontrol group, the complications were less than control group, the time of getting out of bed was faster than that in the control group, and the hospitalization time was shorter than that in the control group (P<0.05). The VAS score of the observation group was lower than control group 1 day and 3 days after operation (P<0.05). Six months after operation, the scores of mental health, material life status, physical health and social function in the two groups were higher than those before treatment (observation group: t=29.454, 19.088, 26.852, 22.600, control group: t=22.309, 14.486, 8.449, 19.531, P<0.05);Six months after operation, the scores of mental health, material life status, physical health and social function in the observation group were higher than control group (t=13.783, 8.861, 7.561, 10.324, P<0.05), 0.324, P<0.05). Six months after operation, the maximum blood flow velocity and testicular volume of testicular artery in the two groups decreased (observation group: t=21.430, 21.946, control group: t=14.914, 9.713, P<0.05). Six months after operation, the maximum blood flow velocity and testicular volume of testicular artery in the observation group were higher than control group (t=11.885, 11.422, P<0.05). Conclusions Laparoscopic hernioplasty has a significant effect on indirect inguinal hernia patients. It can obviously relieve pain and improve the quality of life of patients, and has little effect on sexual function. It is worthy of clinical reference.