腹腔镜疝修补术与开放式无张力疝修补术治疗成人腹股沟疝的效果对比

Effect comparison of the of laparoscopic herniorrhaphy and open-type tension-free herniorrhaphy in the treatment of adult inguinal hernia

目的比较腹腔镜与开放式无张力疝修补术治疗成人腹股沟疝的临床效果。方法选取2017年6月~2018年6月我院收治的72例成人腹股沟疝患者作为研究对象,采用随机数字表法分为观察组和对照组,每组各36例。观察组患者采用腹腔镜疝修补术治疗,对照组患者采用开放式无张力疝修补术。比较两组患者的手术一般情况、术后并发症和术后随访情况。结果观察组患者的手术时间、术后疼痛持续时间、下床时间和住院天数均短于对照组,术中出血量和止痛药使用次数均少于对照组,差异有统计学意义(P<0.05);观察组患者的术后并发症总发生率为8.33%,低于对照组的25.00%,差异有统计学意义(P<0.05);观察组患者的腹股沟异物感消失时间、腹股沟硬结消失时间、腹股沟麻木感消失时间均短于对照组,股静脉血栓发生率和疝复发率均低于对照组,差异有统计学意义(P<0.05)。结论腹腔镜疝修补术治疗成人腹股沟疝的效果显著,术后并发症少,值得临床推广应用。

objective To compare the clinical effect of laparoscopic herniorrhaphy and open-type tension-free herniorrhaphy in the treatment of adult inguinal hernia. Methods A total of 72 patients with inguinal hernia who were treated in our hospital from June 2017 to June 2018 were selected as the research subjects, they were divided into observation group and control group by random number table method, with 36 cases in each group. Laparoscopic herniorrhaphy was used in the observation group, and open-type tension-free herniorrhaphy was used in the control group. The general operative conditions, postoperative complications and postoperative follow-up of the two groups were compared. Results The operation time, postoperative pain duration, the time of out of bed and hospitalization days in the observation group were shorter than those in the control group, the amount of intraoperative bleeding and the times of painkiller use in the observation group were fewer than those in the control group, the differences were statistically significant(P<0.05).The total incidence of postoperative complications in the observation group was 8.33%, which was lower than that in the control group(25.00%), the difference was statistically significant(P<0.05). The time of disappearance of foreign body sensation in groin, induration of groin and numbness in the observation group were shorter than that in the control group, and the incidence of thrombosis and recurrence of hernia in femoral vein were lower than that in the control group, the differences were statistically significant(P<0.05). Conclusion Laparoscopic herniorrhaphy is effective in the treatment of adult inguinal hernia, with fewer postoperative complications, which is worthy of clinical application.