腹腔镜下经腹膜前腹股沟疝修补术与传统疝修补术治疗腹股沟疝的效果评价

Evaluation of the Effect of Laparoscopic Transperitoneal Inguinal Hernia Repair and Traditional Hernia Repair for Inguinal Hernia

目的探讨在腹股沟疝治疗中分别运用腹腔镜下经腹膜前腹股沟疝修补术和传统疝修补术的治疗效果。方法选取2021年1月—2022年7月在南京市溧水区中医院治疗的腹股沟疝患者76例,以数字奇偶法将其均分为对照组和观察组,各38例。对照组实施传统开放式腹膜前疝修补术,观察组实施腹腔镜下经腹膜前腹股沟疝修补术。比对两组患者的临床指标、并发症及复发率情况。结果观察组手术出血量、手术用时、术后疼痛度评分、拔管时间、术后下床活动时间、术后进食时间、住院时间分别为(62.59±6.64)mL、(56.82±11.54)min、(2.35±0.54)分、(21.59±3.72)h、(9.31±2.37)h、(10.25±1.65)h、(6.71±0.94)d,均显著优于对照组,差异有统计学意义(t=7.270、5.305、10.896、4.889、6.679、6.326、5.713,P<0.05);观察组术后并发症率为5.26%,低于对照组的23.68%,差异有统计学意义(χ^(2)=5.208,P<0.05);观察组复发率为2.63%,低于对照组的21.05%,差异有统计学意义(χ^(2)=4.537,P<0.05)。结论腹股沟疝患者以腹腔镜下经腹膜前腹股沟疝修补术进行治疗,相比于传统疝修补术,具有出血少、手术快、疼痛轻、出院早等优势,同时并发症发生率和复发率均较低。

Objective To investigate the results of laparoscopic transperitoneal inguinal hernia repair and traditional hernia repair in the treatment of inguinal hernia.Methods 76 patients with inguinal hernia who were treated at Lishui District Traditional Chinese Medicine Hospital in Nanjing from January 2021 to July 2022 were selected and divided into control group and observation group using the digital parity method,with 38 patients in each group.The control group underwent traditional open preperitoneal hernia repair,and the observation group underwent laparoscopic transperitoneal inguinal hernia repair.The clinical indexes,complications and recurrence rate were compared between the two groups.Results The observation groupsurgical bleeding volume,surgical duration,postoperative pain score,extubation time,postoperative bedridden activity time,postoperative eating time,and hospitalization time,which were(62.59±6.64)mL,(56.82±11.54)min,(2.35±0.54)points,(21.59±3.72)h,(9.31±2.37)h,(10.25±1.65)h,and(6.71±0.94)d,respectively,compared to the control group had significantly better,the difference was statistically significant(t=7.270,5.305,10.896,4.889,6.679,6.326,5.713,P<0.05).The postoperative complication rate of the observation group was 5.26%,which was lower than that of the control group(23.68%),the difference was statistically significant(χ^(2)=5.208,P<0.05).The recurrence rate of observation group(2.63%)was lower than that of control group(21.05%),the difference was statistically significant(χ^(2)=4.537,P<0.05).Conclusion Compared with traditional hernia repair,laparoscopic transperitoneal inguinal hernia repair for patients with inguinal hernia has the advantages of less bleeding,faster operation,less pain,early discharge,and lower complication rate and recurrence rate.