腹腔镜与开放腹膜前疝修补术治疗成人腹股沟疝的对比分析

The Comparative Analysis of Laparoscopic Repair and Open Preperitoneal Repair in the Treatment of Adult Inguinal Hernia

目的:探讨腹腔镜疝修补术与开放腹膜前间隙疝修补术治疗成人腹股沟疝的临床疗效。方法:选取本院2018年1月~2018年12月收治的90例成人腹股沟疝患者,随机分为观察组与对照组。观察组45例行腹腔镜疝修补术,对照组45例行开放腹膜前间隙疝修补术。比较两组平均手术时间、术中出血量、住院天数、术后疼痛时间、血肿、血清肿、切口感染、复发率。结果:观察组平均手术时间、术中出血量、住院天数、术后疼痛时间等方面,均明显优于对照组,差异有统计学意义(P<0.05)。两组术后血肿、血清肿、切口感染、复发率相比,差异无统计学意义(P>0.05)。结论:腹腔镜疝修补术创伤小,恢复快,比开放腹膜前间隙疝修补术更具优势。

Objective:To investigate the clinical curative effect of laparoscopic hernia repair and open preperitoneal hernia repair in the treatment of adult inguinal hernia.Methods:90 cases of patients with adult inguinal hernia treated from January 2018 to December 2018 in our hospital were selected and randomly divided into observation group and control group.Patients in observation group underwent laparoscopic hernia repair(n=45),patients in control group underwent open preperitoneal hernia repair(n=45).The average operation time,intraoperative blood loss,hospitalization days,postoperative pain time,hematoma,seroma,infection of incision,the recurrence rate of the two groups were compared.Results:The average operation time,intraoperative blood loss,hospitalization days,postoperative pain time in the observation group were significantly better than these in the control group,the differences were statistically significant(P<0.05).The differences of postoperative hematoma,seroma,infection of incision,the recurrence rate between the two groups were no statistically significant(P>0.05).Conclusion:Laparoscopic hernia repair have more advantages than open preperitoneal hernia repair because of small trauma and rapid recovery.