腹腔镜腹膜前疝修补术及Lichtenstein平片疝修补术治疗腹股沟疝的疗效

Clinical comparative study of laparoscopic preperitoneal hernioplasty and Lichtenstein hernioplasty in the treatment of inguinal hernia

目的对比分析腹腔镜腹膜前疝修补术和Lichtenstein平片疝修补术应用于腹股沟疝治疗中的临床疗效。方法选择2016年9月至2018年3月,资阳市第四人民医院收治的88例腹股沟疝患者为研究对象,按照随机数字表法分为2组,试验组(44例)予以腹腔镜腹膜前疝修补术,对照组(44例)予以Lichtenstein平片疝修补术,记录2组腹股沟疝患者手术情况、术后恢复情况、术后不良反应发生情况等相关数据。结果试验组治疗费用显著高于对照组,差异有统计学意义(P<0.05),2组术中出血量比较,差异无统计学意义(P>0.05);试验组手术时间、术后首次下床活动时间、术后首次进食时间、术后住院时间均显著少于对照组,差异均具有统计学意义(P<0.05);试验组未发生术后切口积液、阴囊水肿、疼痛及异物感,与对照组比较(分别为11.36%、11.36%、13.64%),差异均具有统计学意义(P<0.05)。结论应用腹腔镜腹膜前疝修补术治疗腹股沟疝效果显著,有利于保障患者近期预后。

Objective To compare and analyze the practical value of laparoscopic preperitoneal hernioplasty and Lichtenstein patch hernioplasty in the treatment of inguinal hernia.Methods From September 2016 to March 2018,88 patients with inguinal hernia admitted to the Fourth People’s Hospital of Ziyang City were enrolled in the study.They were divided into 2 groups according to the random number table method.Laparoscopic preperitoneal hernioplasty was performed in the study group and Lichtenstein hernioplasty in the control group.Relevant data of operation,recovery and adverse reactions were recorded in the two groups.Results The operation time of the study group was significantly shorter than that of the control group and the treatment cost of the study group was significantly higher than that of the control group(all P<0.05).There was no significant difference in the amount of intraoperative bleeding between the two groups(P>0.05).The first time out of bed after operation,the first time to eat after operation and the hospital stay after operation in the study group were significantly shorter than those in the control group(all P<0.05).The incidence of scrotal edema(0.00%),pain and foreign body sensation(0.00%)was significantly lower than those of the control group(11.36%,11.36%,13.64%,respectively).Conclusion Laparoscopic preperitoneal hernioplasty is effective in the treatment of inguinal hernia,which is conducive to ensuring the short-term prognosis of patients.