腹腔镜腹股沟疝修补术与腹腔镜完全腹膜外疝修补术治疗腹股沟疝患者的效果比较

Comparison of Laparoscopic Inguinal Hernia Repair and Laparoscopic Complete Extraperitoneal Hernia Repair in Patients with Inguinal Hernia

目的 比较采用腹股沟疝修补术与完全腹膜外疝修补术治疗腹股沟疝患者的效果。方法 选取2019年1~6月于本院开展手术治疗的60例腹股沟疝患者,采用硬币随机法将其分为两组,每组30例,对照组患者采用腹股沟疝修补术治疗,观察组采用完全腹膜外疝修补术治疗,两组均在腹腔镜协助下开展,分析两组的手术成果。结果 观察组患者手术后3 d的胃泌素和胃动素水平均较手术前高,且高于对照组,组间差异有统计学意义(P <0.05)。观察组手术时间为(40.33±10.23)min,对照组为(38.72±9.54)min,组间差异有统计学意义(P <0.05)。观察组住院时间为(3.30±0.52)d,对照组为(3.21±0.73)d,组间差异无统计学意义(P> 0.05)。两组患者均无复发病例。结论 采用腹腔镜腹股沟疝修补术与腹腔镜完全腹膜外疝修补术能够更好的对患者的病情进行治疗,手术成功率高,并可有效控制复发。在腹腔镜协助下创伤小,但从整体情况上来看以完全腹膜外疝修补术手术效果更好,有利于促进胃肠动力的恢复。

Objective To compare the laparoscopic inguinal hernia repair and laparoscopic complete extraperitoneal hernia repair in patients with inguinal hernia. Methods From January 2019 to June 2019, 60 patients with inguinal hernia who underwent surgical treatment in our hospital were selected and divided into two groups by coin random method, with 30 cases in each group. The patients in the control group were treated with inguinal hernia repair, the observation group was treated with complete extraperitoneal hernia repair, and both groups were carried out with the assistance of laparoscopy. The surgical outcomes of the two groups were analyzed. Results The levels of gastrin and motilin in the observation group 3 days after the operation were higher than those before the operation, and higher than those in the control group, and the difference between the groups was statistically significant(P<0.05). The operation time of the observation group was(40.33±10.23) min,and that of the control group was(38.72±9.54) min, and the difference was statistically significant(P<0.05). The length of hospital stay in the observation group was(3.30±0.52) d, and that in the control group was(3.21±0.73) d, and there was no significant difference between the groups(P>0.05). There were no cases of recurrence in both groups. Conclusion Laparoscopic inguinal hernia repair and laparoscopic total extraperitoneal hernia repair can better treat the patient’s condition. The success rate of the operation is high, and the recurrence can be controlled. Under the assistance of laparoscopy, the trauma is small, but the effect of total extraperitoneal hernia repair is better, which is conducive to the recovery of gastrointestinal motility.