腹腔镜与开放式无张力疝修补术用于治疗成人复发性腹股沟疝的临床研究

Clinical study of laparoscopic and open tension-free hernia repair in the treatment of adult recurrent inguinal hernia

目的探讨腹腔镜与开放式无张力疝修补术治疗成人复发性腹股沟疝的临床效果。方法选取2016年5月至2019年8月本院接收的86例成人复发性腹股沟疝患者为研究对象,以整群随机化的方式分为两组,每组43例。对照组采取开放式无张力疝修补术治疗,研究组采取腹腔镜无张力疝修补术治疗。比较两组手术指标、疼痛评分及并发症发生率。结果研究组手术时间、住院时间均短于对照组,差异有统计学意义(P<0.05);两组术中出血量比较差异无统计学意义。治疗后,两组疼痛评分均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05)。研究组术后并发症发生率为11.63%,低于对照组的34.88%,差异有统计学意义(P<0.05)。结论相比开放式无张力疝修补术,对成人复发性腹股沟疝患者予以腹腔镜无张力疝修补术治疗效果显著,可减少术后并发症,减轻术后疼痛,缩短住院时间,促进患者康复。

Objective To investigate the clinical effect of laparoscopic and open tension-free hernia repair in the treatment of adult recurrent inguinal hernia. Methods 86 adult patients with recurrent inguinal hernia admitted in our hospital from May 2016 to August 2019 were selected as theresearch subjects, and they were divided into two groups according to randomized manner, with 43 cases in each group. The control group was treatedwith open tension-free hernia repair, and the study group was treated with laparoscopic tension-free hernia repair. Compared the surgical indicators,pain scores and the incidence of complications in the two groups. Results The operation time and hospital stay of the study group were shorterthan those of the control group, and the difference was statistically significant (P<0.05);there was no statistically significant difference in intraoperativeblood loss between the two groups. After treatment, the pain scores of the two groups were lower than before treatment, and the study group waslower than the control group, the difference was statistically significant (P<0.05). The postoperative complication rate in the study group was11.63%, which was lower than 34.88% in the control group, and the difference was statistically significant (P<0.05). Conclusion Compared withopen tension-free hernia repair, laparoscopic tension-free hernia repair for adult patients with recurrent inguinal hernia has significant effect. It can reducepostoperative complications, relieve postoperative pain, shorten hospital stay, and promote patient recovery.