自固定补片在腹腔镜腹股沟疝修补术与开放式无张力腹股沟疝修补术中的应用价值

Application value of self-fixed patch in laparoscopic inguinal hernia repair and open tension-free inguinal hernia repair

目的探讨自固定补片在腹腔镜下腹股沟疝修补术和开放式无张力腹股沟疝修补术中的临床应用价值。方法分析80例腹股沟疝患者的临床资料,其中40例患者采取开放式无张力疝修补术(开放组),另40例患者采取腹腔镜下完全腹膜外疝修补术(腹腔镜组)。比较2组患者术后恢复指标及术后并发症发生情况。结果腹腔镜组患者术后离床活动时间早于开放组,术后住院时间短于开放组,术后24 h视觉模拟评分法(VAS)评分低于开放组,差异均有统计学意义(P<0.05);2组患者术后术区异物感、慢性疼痛的发生率比较,差异无统计学意义(P>0.05);腹腔镜组患者术后阴囊血肿的发生率低于开放组,差异有统计学意义(P<0.05)。结论自固定补片应用于腹腔镜下腹股沟疝修补术中的整体效果相较开放式无张力腹股沟疝修补术更为理想,有利于缓解患者术后疼痛感,并缩短术后住院时间。

Objective To explore the clinical value of self-fixed patch in laparoscopic inguinal hernia repair and open tension-free inguinal hernia repair.Methods The clinical materials of 80 patients with inguinal hernia were analyzed,and they were divided into open group(treated with open tension-free inguinal hernia repair)and laparoscopic group(treated with laparoscopic totally extra-peritoneal repair),with 40 cases in each group.Postoperative recovery indicators and postoperative complications were compared between the two groups.Results The patients in the laparoscopic group had a earlier time of bed-off activities,a shorter hospitalization time and a lower Visual Analogue Scale(VAS)score at 24 h after operation than those in the open group(P<0.05).There were no significant differences in the incidence rates of foreign body sensation and chronic pain between the two groups(P>0.05).The incidence of scrotal hematoma in the laparoscopic group was significantly lower than that in the open group(P<0.05).Conclusion The application of self-fixed patch in laparoscopic inguinal hernia repair has a better overall effect compared to open tension-free inguinal hernia repair,which is beneficial to relieve postoperative pain and shorten postoperative hospital stay.