经腹膜前腹腔镜疝修补术与开放性手术治疗腹股沟疝的临床疗效

Clinical Effect of Preperitoneal Laparoscopic Hernia Repair and Open Surgery in the Treatment of Inguinal Hernia

目的探究经腹膜前腹腔镜疝修补术与开放性手术在腹股沟疝患者中的不同应用效果。方法回顾性分析2019年1—6月于该院就诊的83例腹股沟疝患者临床资料,根据手术方式不同,分为对照组(开放式无张力疝修补术,40例),观察组(经腹膜前腹腔镜疝修补术,43例),比较两组手术情况、术后疼痛评分、炎症反应情况[降钙素原(PCT)]、并发症发生率。结果观察组手术时间(51.36±8.25)min短于对照组的(64.17±5.57)min,差异有统计学意义(t=8.228,P<0.05);术后8、12、48 h疼痛评分依次为(3.43±0.89)分、(2.95±0.91)分、(2.33±0.65)分,低于对照组的(4.51±0.93)分、(4.02±0.90)分、(3.41±0.79)分,差异有统计学意义(t=5.406、5.381、6.821,P<0.05);观察组PCT水平为(8.85±2.79)μg/L,低于对照组(11.88±2.32)μg/L,差异有统计学意义(t=5.358,P<0.05);观察组并发症发生率(2.33%)低于对照组(20.00%),差异有统计学意义(χ^(2)=4.993,P=0.010)。结论经腹膜前腹腔镜疝修补术在腹股沟疝治疗中更具优势,可缩短手术时间,控制术后疼痛,有效抑制炎症反应,控制切口感染、膀胱损伤、阴囊水肿等并发症出现。

Objective To explore the different application effects of preperitoneal laparoscopic hernia repair and open surgery in patients with inguinal hernia.Methods A retrospective analysis of the clinical data of 83 patients with inguinal hernia in the hospital from January to June 2019.According to different surgical methods,they were divided into control group(open tension-free hernia repair,40 cases)and observation group(preperitoneal laparoscopic hernia repair,43 cases),compared the two groups of surgery,postoperative pain score,inflammatory response[procalcitonin(PCT)],complication rate.Results The operation time of the observation group was(51.36±8.25)min shorter than that of the control group(64.17±5.57)min,and the difference was statistically significant(t=8.228,P<0.05);the pain scores at 8 h,12 h,and 48 h were as follows(3.43±0.89)points,(2.95±0.91)points,(2.33±0.65)points,lower than the control group(4.51±0.93)points,(4.02±0.90)points,(3.41±0.79)points,the difference was statistically significant(t=5.406,5.381,6.821,P<0.05);the PCT level of the observation group was(8.85±2.79)μg/L,which was lower than the control group(11.88±2.32)μg/L,the difference was statistically significant(t=5.358,P<0.05);the incidence of complications in the observation group(2.33%)was lower than that in the control group(20.00%),and the difference was statistically significant(χ^(2)=4.993,P=0.010).Conclusion Preperitoneal laparoscopic hernia repair is more advantageous in the treatment of inguinal hernia.It can shorten the operation time,control postoperative pain,effectively inhibit inflammation,and control the occurrence of complications such as incision infection,bladder injury,and scrotal edema.