腹腔镜下腹膜外间隙内环口缩窄联合补片治疗巨大腹股沟斜疝的临床观察

Clinical observation on the treatment of giant indirect inguinal hernia under laparoscopy

目的探讨腹腔镜下腹膜外间隙内环口缩窄联合补片治疗巨大腹股沟斜疝患者的临床价值。方法选取2020年1月至2020年9月东莞市大朗医院普外科治疗的82例巨大腹股沟斜疝患者依据随机数字表方法,分为观察组和对照组(各41例),观察组采取腹腔镜下腹膜外间隙内环口缩窄加补片治疗,对照组采取完全腹膜外间隙疝片修补治疗,比较两组患者手术治疗有效率、手术所用时长、术后下床走动所用时长、住院时长、术后并发症发生率、病情复发率。结果观察组手术治疗有效率高于对照组(P<0.05),术后下床走动所用时长、住院时长低于对照组,术后并发症发生率低于对照组(P<0.05),但观察组手术所用时长较对照组更长(P<0.05);观察组病情复发率和对照组比较差异无显著性(P>0.05)。结论采取腹腔镜下腹膜外间隙内环口缩窄联合补片治疗巨大腹股沟斜疝患者的效果较佳,可提高患者手术治疗有效情况,减轻相关并发症。

Objective To study the value of laparoscopic extraperitoneal space inner ring orifice narrowing combined with patch therapy in surgical treatment of patients with huge inguinal hernia.Methods According to the random number table method,82 patients with giant indirect inguinal hernia treated by General Surgery of Dongguan Dalang Hospital from January 2020 to September 2020 were divided into observation group and control group with 41 cases each.The observation group took laparoscopic peritoneum constriction of the inner ring of the outer space and patch treatment,the control group took complete extraperitoneal space hernia repair treatment,and compared the effective rate of surgical treatment,the length of operation,the length of time to get out of bed after the operation,the length of hospitalization,and the postoperative period of the two groups.Results The effective rate of surgical treatment in the observation group was improved compared with the statistical results of the control group(P<0.05);the overall time spent getting out of bed and walking after the operation in the observation group,the overall time spent in hospitalization and the statistical results of the control group were lower.The duration is longer(P<0.05);the incidence of postoperative complications in the observation group is lower than the statistical results of the control group(P<0.05);the recurrence rate of the observation group after surgery is not significantly different from the statistical results of the control group(P>0.05).Conclusion For patients with huge indirect inguinal hernia,laparoscopic extraperitoneal space internal ring orifice narrowing combined with patch treatment has a better surgical treatment effect,reduction of the related complications.