腹腔镜完全腹膜外腹股沟疝修补术治疗成人腹股沟疝的临床效果

Clinical effect of laparoscopic total extraperitoneal hernia repair on adult inguinal hernia

目的分析腹腔镜完全腹膜外腹股沟疝修补术治疗成人腹股沟疝的临床效果.方法102例成人腹股沟疝患者,随机分为研究组和对比组,每组51例.对比组患者采用开放式无张力疝修补术进行治疗,研究组患者采用腹腔镜完全腹膜外腹股沟疝修补术(TEP)进行治疗.比较两组患者的手术时间、疼痛持续时间、住院时间及并发症发生情况.结果研究组患者的手术时间为(46.1±6.6)min,疼痛持续时间为(0.7±0.3)h,住院时间为(2.7±0.6)d;对比组患者的手术时间为(44.7±5.8)min,疼痛持续时间为(2.5±0.5)h,住院时间为(6.4±0.3)d;两组患者的手术时间比较,差异无统计学意义(P>0.05);研究组患者的疼痛持续时间和住院时间均短于对比组,差异具有统计学意义(P<0.05).研究组患者的并发症发生率为5.9%(3/51),对比组患者的并发症发生率为19.6%(10/51),研究组患者的并发症发生率低于对比组,差异具有统计学意义(P<0.05).结论腹腔镜完全腹膜外腹股沟疝修补术用于治疗成人腹股沟疝患者的效果显著,值得临床推广应用.

Objective To analyze the clinical effect of laparoscopic total extraperitoneal hernia repair on adult inguinal hernia.Methods A total of 102 adult patients with inguinal hernia were randomly divided into research group and control group,with 51 cases in each group.The control group was treated with open tensionfree herniorrhaphy,and the research group was treated with laparoscopic total extraperitoneal prosthesis(TEP).The operation time,duration of pain,hospitalization time and occurrence of complications was compared between the two groups.Results The operation time,duration of pain and hospitalization time were(46.1±6.6)min,(0.7±0.3)h and(2.7±0.6)d in the research group,which were(44.7±5.8)min,(2.5±0.5)h and(6.4±0.3)d in the control group.There was no statistically significant difference in operation time between the two groups(P>0.05).The duration of pain and hospitalization time in the research group was shorter than those in the control group,and the difference was statistically significant(P<0.05).The incidence of complications was 5.9%(3/51)in the research group,which was 19.6%(10/51)in the control group.The incidence of complications in the research group was lower than the control group,and the difference was statistically significant(P<0.05).Conclusion Laparoscopic total extraperitoneal hernia repair shows remarkable effect in the treatment of adult inguinal hernia,and it is worthy of clinical promotion and application.