成人腹腔镜腹股沟疝修补术和开放式腹股沟疝修补术的临床效果分析

Clinical Effect Analysis of Laparoscopic Inguinal Hernia Repair and Open Inguinal Hernia Repair in Adults

目的分析比较成人腹腔镜腹股沟疝修补术、开放式腹股沟疝修补术的临床效果。方法方便选择2021年12月—2022年8月于徐州市肿瘤医院北院接受治疗的46例成人腹股沟疝患者为研究对象,依据随机数字表形式分为对照组(16例,实施开放式腹股沟疝修补术)与观察组(30例,实施腹腔镜腹股沟疝修补术)。对比两组治疗效果、手术指标、预后恢复指标、疼痛程度、并发症发生情况。结果观察组治疗有效率(96.67%)与对照组(93.75%)比较,差异无统计学意义(P>0.05)。观察组手术时间为(66.45±7.10)min长于对照组的(48.02±5.64)min,术中出血量为(21.56±2.87)mL、切口长度为(1.35±0.34)cm优于对照组的(41.25±6.34)mL、(4.12±0.55)cm,差异有统计学意义(t=8.968、14.541、21.131,P<0.05)。观察组术后下床、进食、疼痛缓解及住院时间均短于对照组(P<0.05)。观察组术后12、24 h的VAS评分均低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率6.67%低于对照组的37.50%,差异有统计学意义(χ^(2)=4.926,P<0.05)。结论开放式疝修补术、腹腔镜疝修补术在成人腹股沟疝治疗中均具有良好疗效,但腹腔镜手术术中对患者损伤更小,出血量较少,预后疼痛轻微且并发症少。

Objective To analyze and compare the clinical effects of laparoscopic inguinal hernia repair and open inguinal hernia repair in adults.Methods 46 adult inguinal hernia patients who received treatment at the North Hospital of Xuzhou Cancer Hospital from December 2021 to August 2022 were conveniently selected as the research subjects.They were randomly divided into a control group(16 cases,who underwent open inguinal hernia repair)and an observation group(30 cases,who underwent laparoscopic inguinal hernia repair)based on a random number table.Compared the treatment effectiveness,surgical indicators,prognostic recovery indicators,pain level,and incidence of complications between the two groups.Results Compared with the control group(93.75%),there was no statistically significant difference in the effective rate of treatment in the observation group(96.67%)(P>0.05).The operating time of the observation group was(66.45±7.10)min longer than that of the control group(48.02±5.64)min,with intraoperative bleeding of(21.56±2.87)mL and incision length of(1.35±0.34)cm,which was better than that of the control group(41.25±6.34)mL and(4.12±0.55)cm,the difference was statistically significant(t=8.968,14.541,21.131,P<0.05).The observation group had shorter postoperative time of getting out of bed,eating,pain relief,and hospitalization compared to the control group,the difference was statistically significant(P<0.05).The VAS scores of the observation group at 12 h and 24 h after surgery were lower than those of the control group,the difference was statistically significant(P<0.05).The incidence of complications in the observation group was 6.67%lower than 37.50%in the control group,the difference was statistically significant(χ^(2)=4.926,P<0.05).Conclusion Open hernia repair and laparoscopic hernia repair both have good efficacy in the treatment of inguinal hernia in adults,but laparoscopic surgery has less damage to patients intraoperatively,less bleeding,mild prognosis pain and fewer complications.