腹腔镜与开放疝修补术治疗腹壁疝的疗效比较分析

Comparative Analysis of the Efficacy of Laparoscopic and Open Hernia Repair in the Treatment of Abdominal Wall Hernia

目的探析腹壁疝患者接受腹腔镜和开放性疝修补术的临床价值。方法选取2021年1月—2023年1月福州市马尾区医院收治的60例腹壁疝患者为研究对象,采用随机数表法将患者分为两组,接受开放疝修补术为对照组,30例,采用腹腔镜疝修补术为观察组,30例。分别观察两组患者临床有效性、围术期指标(手术时间、术中出血量、下床活动时间、住院时间)、炎症因子水平、并发症情况,比较不同术式临床价值。结果观察组治疗总有效率为96.67%,高于对照组的73.33%,差异有统计学意义(χ^(2)=4.705,P<0.05)。观察组手术时间、下床活动时间、住院时间均较对照组更短,术中出血量较对照组更少,差异有统计学意义(P<0.05)。治疗后,观察组炎症指标水平均比对照组低,差异有统计学意义(P<0.05)。观察组并发症发生率明显比对照组低,差异有统计学意义(P<0.05)。结论在治疗腹壁疝患者时,腹腔镜疝修补术较开放疝修补术更具有优势,手术创伤小、并发症发生率低、住院时间短,临床疗效确切。

Objective To explore the clinical value of abdominal wall hernia patients receiving laparoscopic and open hernia repair.Methods A total of 60 patients with abdominal wall hernia admitted to Fuzhou Mawei District Hospital from January 2021 to January 2023 were selected as research objects.The patients were divided into two groups using a randomized numerical table,receiving open hernia repair as the control group,30 cases,and using laparoscopic hernia repair as the observation group,30 cases.Clinical effectiveness,perioperative indicators(operation time,intraoperative bleeding,time to get out of bed,hospitalization time),inflammatory factor levels,and complications were observed in the two groups respectively,and the clinical value of the different surgical procedures was compared.Results The total effectiveness of the observation group was 96.67%,which was higher than 73.33%in the control group,and the difference was statistically significant(χ^(2)=4.705,P<0.05).Compared with the control group,the observation group had shorter operation time,time to get out of bed and hospitalization time,and less intraoperative bleeding,and the difference was statistically significant(P<0.05).The inflammation indicator levels of the observation group were all lower than those of the control group after treatment,and the difference was statistically significant(P<0.05).The incidence rate of complications in the observation group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion In the treatment of patients with abdominal wall hernia,laparoscopic hernia repair is more advantageous than open hernia repair,with less surgical trauma,lower complication rate,shorter hospitalization time,precise clinical efficacy.