开放与腹腔镜下组织结构分离技术在腹壁疝治疗中的应用效果比较

Comparison on clinical efficacy of open versus laparoscopic component separation techniques in the treatment of abdominal wall hernia

目的探讨开放与腹腔镜下组织结构分离技术在腹壁疝治疗中的应用效果。方法抽取2015年10月至2019年11月太原钢铁(集团)有限公司总医院收治的原发性腹壁疝患者58例,根据手术方式将其分为腹腔镜组(33例,行腹腔镜下组织结构分离术)和开放组(25例,行开放组织结构分离术)。对两组患者的临床资料进行回顾性分析。观察并比较两组手术情况及术后恢复情况。结果腹腔镜组术中出血量、住院时间均少于开放组,差异有统计学意义(P<0.05)。腹腔镜组患者术后1、5 d的视觉模拟评分法(VAS)评分均低于开放组,差异有统计学意义(P<0.05)。腹腔镜组患者术后切口感染、血肿发生率(6.06%,2/33;3.03%,3/33)均低于开放组(28.00%,7/25;24.00%,6/25),差异有统计学意义(P<0.05)。结论与开放手术比较,腹腔镜下组织结构分离术在腹壁疝治疗中可有效降低手术创伤程度,术后并发症少。

Objective To investigate the clinical effects of open and laparoscopic component separation techniques in treatment of abdominal wall hernia.Methods A total of 58 patients with primary abdominal wall hernia treated in General Hospital of Taiyuan Iron&Steel(Group)Co.,Ltd.from October 2015 to November 2019 were selected.According to treatment methods,they were divided into laparoscopic group(33 cases,treated by laparoscopic component separation techniques)and open surgery group(25 cases,treated by open component separation techniques).The clinical data of the two groups were retrospectively analyzed.The operation condition and postoperative recovery of the two groups were observed and compared.Results The intraoperative blood loss and hospital stay of the laparoscopic group were significantly lower than those of the open group,and the difference was statistically significant(P<0.05).The visual analogue scale(VAS)scores of the laparoscopic group were significantly lower than that of the open group 1 day and 5 days after operation(P<0.05).The incidences of postoperative wound infection(6.06%,2/33)and hematoma(3.03%,3/33)in the laparoscopic group were significantly lower than those in the open group(28.00%,7/25;24.00%,6/25),P<0.05.Conclusions Compared with open surgery,laparoscopic component separation techniques in the treatment of patients with abdominal wall hernia can effectively reduce the degree of surgical trauma,and with less postoperative complications.