疝环充填式无张力疝修补术与腹膜前间隙疝修补术治疗腹股沟疝的效果比较

Comparison of the effects of plug-mesh tension-free hernia repair and preperitoneal hernia repair in the treatment of inguinal hernia

目的比较疝环充填式无张力疝修补术与腹膜前间隙疝修补术治疗腹股沟疝的效果。方法选取2017年2月至2019年10月我院124例腹股沟疝患者作为研究对象,按手术方式将其分为对照组(62例,疝环充填式无张力疝修补术)和观察组(62例,腹膜前间隙疝修补术)。比较两组治疗效果。结果术后48 h,两组患者CRP、IL-8、Cor、ALD水平均升高,但观察组低于对照组(P<0.05)。术后72 h,两组患者GAS、MTL、SS水平均降低,但观察组优于对照组(P<0.05)。观察组患者术中出血量、铺片时间均优于对照组,但手术时间长于对照组(P<0.05)。观察组并发症总发生率、术后24 h疼痛评分低于均对照组(P<0.05)。结论与疝环充填式无张力疝修补术比较,腹膜前间隙疝修补术能有效减轻手术应激和炎症反应,对胃肠功能影响小,且并发症发生率低,值得临床推广和应用。

Objective To compare the effects of plug-mesh tension-free hernia repair and preperitoneal hernia repair in the treatment of inguinal hernia.Methods A total of 124 patients with inguinal hernia in our hospital from February 2017 to October 2019 were selected as the study objects and divided into control group(62 cases,plug-mesh tensionfree hernia repair)and observation group(62 cases,preperitoneal hernia repair)according to surgical methods.The therapeutic effects of the two groups were compared.Results At 48 h after surgery,the levels of CRP,IL-8,Cor and ALD in both groups increased,but those in the observation group were lower than the control group(P<0.05).At 72 h after surgery,GAS,MTL and SS levels in both groups decreased,but those in the observation group were better than the control group(P<0.05).The amount of intraoperative blood loss and tablet laying time in the observation group were better than those in the control group,but the operation time was longer than that in the control group(P<0.05).The total incidence of complications and pain score at 24 h after surgery in the observation group were lower than those in the control group(P<0.05).Conclusion Compared with plug-mesh tension-free hernia repair,preperitoneal hernia repair can effectively reduce surgical stress and inflammation response,with little impact on gastrointestinal function and low incidence of complications,which is worthy of clinical promotion and application.