腹腔镜疝修补术与开放式无张力疝修补术临床疗效对比分析

Comparative Analysis of Clinical Efficacy between Laparoscopic Hernia Repair and Open Tension-Free Hernia Repair

目的腹股沟疝患者分别通过腹腔镜疝修补术与开放式无张力疝修补术进行治疗,对患者所获得的手术情况以及并发症的发生情况进行研究分析,展开对比。方法对该院在2015年1月—2018年1月这一期间内收治的患者随机抽取出100例腹股沟疝患者,把他们当成该次研究的研究目标,根据患者的治疗方法的不同,将小组进行划分,划分成观察组和对照组,两组均由50例患者所构成。观察组患者通过腹腔镜疝修补术进行治疗,对照组患者通过开放式无张力疝修补术进行治疗,对两组患者所获得的手术情况(手术时间、住院时间、VAS的改善情况、正常活动恢复时间)进行比较,对两组患者的并发症情况进行比较研究。结果观察组患者的手术时间为(60.3±8.2)min,住院时间为(4.1±1.5)d,术后的VAS评分为(2.9±0.6)分,正常活动恢复时间(6.1±1.1)d,对照组患者的手术时间为(50.1±7.9)min,住院时间为(7.5±2.0)d,术后的VAS评分为(5.9±1.0)分,正常活动恢复时间(10.3±1.9),观察组患者除了手术时间高于对照组以外,其他手术情况均优良于对照组,组间差异有统计学意义(t=5.6248、5.2148、6.2584、6.1578,P<0.05);观察组患者的并发症发生概率为:18.0%(7/50),其中切口感染患者有2例,尿潴留患者有4例,阴囊发生血肿情况有1例,对照组患者的并发症的发生概率为30.0%(15/50),其中切口感染患者有4例,尿潴留患者有8例,阴囊发生血肿情况有3例,差异有统计学意义(χ^2=16.5428,P<0.05)。结论腹股沟疝患者通过腹腔镜疝修补术进行治疗,效果显著,并发症概率低,值得在临床中推广以及应用。

Objective To treat patients with inguinal hernia by laparoscopic hernia repair and open tension-free hernia repair. The surgical conditions and complications of the patients were studied and analyzed. Methods A total of 100 patients with inguinal hernia were randomly selected from January 2015 to January 2018 in our hospital. They were considered as the research targets of the sub-study. According to the treatment methods of patients, they were divided into observation group and control group, with 50 patients in each group. Patients in the observation group were treated with laparoscopic hernia repair, while patients in the control group were treated with open tension-free hernia repair. The operation of the two groups of patients (surgery time, hospitalization time, improvement of VAS, normal activity recovery time) and the complications of the two groups were compared. Results The operation time of the observation group was (60.3±8.2) min, the hospitalization time was (4.1±1.5) days, the postoperative VAS score was (2.9±0.6) points, and the normal activity recovery time was (6.1±1.1) days. The operation time of the control group was (50.1±7.9) min, the hospitalization time was (7.5±2.0) days, the postoperative VAS score was (5.9±1.0) points, and the normal activity recovery time (10.3±1.9)d. Except for the operation time, the other operations in the observation group were better than those in the control group. The difference between the groups was significant significant(t=5.6248、5.2148、6.2584、6.1578,P<0.05). The probability of complications in the observation group was 18.0%(7/50), 2 cases of wound infection, 4 cases of urinary retention, 1 case of scrotal hematoma, 30.0%(15/50) of complication of control group, 4 of patients with wound infection. For example, there were 8 patients with urinary retention and 3 patients with hematoma in the scrotum. The difference was statistically significant(χ^2=16.542 8,P<0.05). Conclusion Laparoscopic hernia repair has significant effect in the treatment of the patients with inguinal hernia, and the probability of complications is low. It is worthy of promotion and application in the clinic.