腹腔镜经腹腔腹膜前疝修补术治疗腹股沟疝的临床效果分析

Clinical Effect Analysis of Laparoscopic Transabdominal Preperitoneal Hernia Repair in the Treatment of Inguinal Hernia

目的分析腹股沟疝患者采取腹腔镜经腹腔腹膜前疝修补术的应用效果。方法回顾性分析临清市人民医院2019年12月—2020年12月收治的150例腹股沟疝患者,根据不同的手术方式分成研究组与对照组,各75例。对照组采取开放式无张力疝修补术进行治疗,研究组采取腹腔镜经腹腔腹膜前疝修补术进行治疗。比较两组治疗效果、手术指标、术后各项指标恢复时间、并发症及复发情况。结果研究组患者的治疗总有效率为98.67%,明显高于对照组的86.67%,研究组复发率为1.33%,明显低于对照组的10.67%,差异有统计学意义(χ^(2)=7.946、4.255,P<0.05);研究组术中出血量低于对照组,差异有统计学意义(P<0.05);研究组排气时间、疼痛时间、进食时间、下床时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。结论采取腹腔镜经腹腔腹膜前疝修补术能减少患者术中出血量以及并发症发生情况,从而提高治疗效果,另外还能显著缩短患者术后恢复时间,不会增加复发情况。

Objective To analyze the application effect of laparoscopic transabdominal preperitoneal hernia repair in patients with inguinal her⁃nia.Methods A retrospective analysis of 150 patients with inguinal hernia admitted to Linqing People's Hospital from December 2019 to De⁃cember 2020 was performed,and they were divided into a study group and a control group according to different surgical methods,with 75 cases in each.The control group was treated with open tension-free hernia repair,while the study group was treated with laparoscopic transab⁃dominal preperitoneal hernia repair.The therapeutic effects,surgical indicators,postoperative recovery time of various indicators,complica⁃tions and recurrence were compared between the two groups.Results The total effective rate of patients in the study group was 98.67%,which was significantly higher than 86.67%in the control group;the recurrence rate in the study group was 1.33%,which was significantly lower than 10.67%in the control group,the difference was statistically significant(χ^(2)=7.946,4.255,P<0.05);the intraoperative blood loss in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05);the exhaust time,pain time,eat⁃ing time,getting out of bed and hospitalization time in the study group were all shorter than those in the control group,the difference was sta⁃tistically significant(P<0.05).Conclusion Laparoscopic transabdominal preperitoneal hernia repair for patients with inguinal hernia can re⁃duce the amount of intraoperative blood loss and complications,thereby improving the treatment effect.In addition,it can significantly shorten the recovery time of patients after surgery,and the recurrence rate will not increase.