腹腔镜完全腹膜外腹股沟疝修补术治疗原发性单侧腹股沟斜疝的临床研究

Clinical Study of Laparoscopic Complete Extraperitoneal Inguinal Hernia Repair for Primary Unilateral Inguinal Hernia

目的研究腹腔镜完全腹膜外腹股沟疝修补术治疗原发性单侧腹股沟斜疝的临床效果。方法从2017年7月—2018年7月期间该院接收治的原发性单侧腹股沟斜疝患者64例为研究对象,采用随机数字法平均分为传统组和腹腔镜组。给予传统组(n=32例)患者经正中线切口腹膜前腹股沟疝修补术治疗,给予腹腔镜组(n=32例)患者腹腔镜完全腹膜外腹股沟疝修补术治疗。研究两组患者疼痛改善情况、临床治疗有效率和并发症发生概率。结果治疗后,腹腔镜组VAS评分(1.68±0.19)分,明显低于传统组(t=21.363,P=0.000);腹腔镜组临床治疗有效率为90.63%,明显高于传统组(χ2=7.053,P=0.008);腹腔镜组并发症发生概率为9.38%,明显低于传统组(χ2=4.730,P=0.029)。结论相比经正中线切口腹膜前腹股沟疝修补术治疗而言,腹腔镜完全腹膜外腹股沟疝修补术治疗原发性单侧腹股沟斜疝的临床效果更加显著,能够明显缓解疼痛,降低术后并发症的发生概率,可在临床推广应用。

Objective To study the clinical effect of laparoscopic complete extraperitoneal inguinal hernia repair on primary unilateral inguinal hernia.Methods From July 2017 to July 2018,64 patients with primary unilateral inguinal hernia who were treated in the hospital were studied.They were divided into the traditional group and the laparoscopic group by random number method.Patients in the traditional group(n=32 patients)were treated with midline incision before the peritoneal inguinal hernia repair,and patients in the laparoscopic group(n=32 patients)were treated with laparoscopic complete extraperitoneal inguinal hernia repair.Study the improvement of pain,clinical treatment efficiency and the probability of complications in the two groups of patients.Results After treatment,the VAS score of the laparoscopic group(1.68±0.19)points was significantly lower than that of the traditional group(t=21.363,P=0.000).The effective rate of clinical treatment of the laparoscopic group was 90.63%,which was significantly higher than that of the traditional group(χ2=7.053,P=0.008);the incidence of complications in the laparoscopic group was 9.38%,which was significantly lower than that in the traditional group(χ2=4.730,P=0.029).Conclusion Compared with the treatment of preperitoneal inguinal hernia repair with midline incision,the clinical effect of laparoscopic complete extraperitoneal inguinal hernia repair on primary unilateral inguinal hernia is more significant,which can significantly relieve pain and reduce postoperative complications.The occurrence probability of the disease can be applied in clinical promotion.