腹股沟疝行腹腔镜经腹腔腹膜前补片植入术治疗的效果分析

Analysis of the effect of laparoscopic transperitoneal preperitoneal patch implantation for inguinal hernia

目的研究腹股沟疝行腹腔镜经腹腔腹膜前补片植入术的临床应用效果。方法选取2017年9月至2018年9月到本院治疗的腹股沟疝患者88例作为研究对象,按随机数字法分为对照组和观察组,各44例。观察组实施腹腔镜经腹腔腹膜前补片植入术,对照组实施传统的开放式无张力疝修补术。观察对比两组患者手术时间、术后下床活动时间、住院时间、并发症发生情况、术后VAS评分和术中出血量。结果治疗后,两组患者手术时间对比差异无统计学意义;观察组患者术后下床活动时间以及住院时间显著短于对照组,组间对比差异有统计学意义(P<0.05);观察组并发症发生率明显低于对照组,组间对比差异有统计学意义(P<0.05);观察组患者术后VAS评分和术中出血量明显低于对照组,组间对比差异有统计学意义(P<0.05)。结论腹股沟疝行腹腔镜经腹腔腹膜前补片植入术,临床效果确切,患者住院时间短,术中出血量更少,能减轻患者疼痛,恢复快,并发症低。

Objective To study the clinical effect of laparoscopic transperitoneal preperitoneal patch implantation for inguinal hernia.Methods 88 patients with inguinal hernia treated in our hospital from September 2017 to September 2018 were randomly divided into two groups:control group and observation group,with 44 cases in each group.Laparoscopic preperitoneal patch implantation was performed in the observation group and open tension-free hernia repair was performed in the control group.To observe and compare the time of operation,the time of getting out of bed,the time of hospitalization,the occurrence of complications,the postoperative VAS score and the intraoperative blood loss between the two groups.Results After treatment,the operation time of the two groups was compared,the difference between the two groups was not obvious,there was no statistical significance,the activity time of the lower bed and the hospital stay time after the operation of the observation group were significantly shorter than that of the control group,and the difference was statistical significance(P<0.05).The incidence of complications in the observation group was significantly lower than that of the control group,and there was significant difference between the groups(P<0.05).The postoperative VAS scores and intraoperative blood loss in the observation group were significantly lower than that in the control group,and the difference between the groups was significant(P<0.05).Conclusion Laparoscopic transperitoneal retroperitoneal patch implantation for inguinal hernia has a definite clinical effect,short hospitalization time,less intraoperative bleeding,less pain relief,faster recovery and lower complications.