腹腔镜下全腹膜外疝修补术与传统疝修补术的临床疗效对比

Comparison of the Clinical Efficacy of Laparoscopic Totally Extraperitoneal Hernia Repair and Traditional Hernia Repair

目的:研究腹腔镜下全腹膜外疝修补术(totally extraperitoneal herniorrhaphy,TEP)与传统疝修补术对腹股沟疝的治疗价值。方法:选取2016年3月-2019年2月笔者所在医院收治的80例腹股沟疝患者作为本次研究对象,按照随机数字表法将其分为两组,每组40例。研究组行腹腔镜下全腹膜外疝修补术,对照组行传统疝修补术。比较两组临床效果。结果:研究组手术时间长于对照组,研究组术中出血量、治疗费用均少于对照组,术后首次下床时间、术后住院时间优于对照组,差异有统计学意义(P<0.05);研究组手术当天、术后3 d VAS评分均低于对照组,且两组术后3 d VAS评分均低于手术当天,差异均有统计学意义(P<0.05);研究组术后并发症发生率为2.50%,低于对照组的20.00%,差异有统计学意义(P<0.05);研究组随访期间腹股沟疝复发率为0,低于对照组的17.50%,差异有统计学意义(P<0.05)。结论:应用腹腔镜下全腹膜外疝修补术治疗腹股沟疝有效性及安全性均较优。

Objective:To study the value of laparoscopic totally extraperitoneal hernia repair and traditional hernia repair for inguinal hernia.Method:A total of 80 cases of inguinal hernia patients in our hospital from March 2016 to February 2019 were selected as the research object,and they were randomly divided into two groups,40 cases in each group.The study group underwent laparoscopic totally extraperitoneal hernia repair,and the control group underwent traditional hernia repair.The clinical effects of the two groups were compared.Result:The operation time of the study group was longer than that of the control group,the blood loss and treatment cost in the study group were less than those in the control group,the first time to get out of bed and the postoperative hospital stay in the study group were better than those in the control group,the differences were statistically significant (P<0.05).The VAS scores of the study group were lower than those of the control group on the operation day and 3 days after operation,and the VAS scores of the two groups on 3 days after operation were lower than those of the operation day,the differences were statistically significant (P<0.05).The incidence of postoperative complications was 2.50% in the study group,which was lower than 20.00% in the control group,the difference was statistically significant (P<0.05).The inguinal hernia recurrence rate was 0 during the follow-up period in the study group,which was lower than 17.50% in the control group,the difference was statistically significant (P<0.05).Conclusion:Laparoscopic totally extraperitoneal hernia repair is effective and safe in treating inguinal hernia.