腹腔镜与传统疝无张力修补术的临床疗效

Clinical Efficacy of Laparoscopic and Traditional Hernia Repair Without Tension

目的对腹腔镜疝修补术(laparoscopic inguinal hernia repair,LIHR)与传统疝无张力修补术的临床疗效进行分别评价。方法选择腹股沟疝患者80例,时间选择2018年9月-2019年7月,依据计算机编号的形式分为例数均等的两个小组:对照组与研究组,分别采用的治疗方式:传统疝无张力修补术、腹腔镜疝修补术。对组间的手术时间、术中出血量、并发症发生率(阴囊水肿率、神经感觉异常率、切口感染率)进行指标对比。结果就研究组而言,其术中出血量(32.21±0.55)mL、并发症发生率(阴囊水肿率2.50%、神经感觉异常率5.00%、切口感染率2.50%)指标均低于对照组[术中出血量、阴囊水肿率、神经感觉异常率、切口感染率分别:(72.21±0.56)mL、10.00%、20.00%、15.00%],P<0.05,差异有统计学意义;研究组与对照组的手术时间数据差异无统计学意义(P>0.05)。结论腹腔镜疝修补术治疗腹股沟疝患者,可以获得最佳的临床治疗效果,可以降低患者的术后并发症发生率,能够促进患者病情尽快康复。

Objective To evaluate the clinical efficacy of laparoscopic inguinal hernia repair(LIHR)and traditional tendon tension-free repair.Methods Eighty patients with inguinal hernia were selected.The time was chosen from September 2018 to July 2019.According to the computer number,the two groups were divided into two groups:the control group and the study group,with traditional tendon tension-free repair,laparoscopic hernia repair respectively.The operation time,intraoperative blood loss,complication rate(scrotal edema rate,neurosensory abnormal rate,incision infection rate)were compared between the groups.Results For the study group,the intraoperative blood loss(32.21±0.55)mL,complication rate(scrotal edema rate 2.50%,neurosensory abnormal rate 5.00%,incision infection rate 2.50%)were lower than the control group(intraoperative blood loss,scrotal edema rate,neurosensory abnormality rate,incision infection rate were(72.21±0.56)mL,10.00%,20.00%,15.00%),P<0.05,the difference was statistically significant;there was no statistically significant difference in operation time between the study group and the control group(P>0.05).Conclusion Laparoscopic hernia repair for patients with inguinal hernia can obtain the best clinical treatment effect,which can reduce the incidence of postoperative complications and promote the patients’condition recovered as soon as possible.