腹腔镜下经腹膜前疝无张力修补术治疗腹股沟疝患者的临床效果及对疼痛程度的影响

Clinical Effects of Laparoscopic Transperitoneal Preperitoneal Hernia Tension-free Repair for Patients with Inguinal Hernia and the Impact on Pain Levels

目的 探讨腹腔镜下经腹膜前疝无张力修补术治疗腹股沟疝患者的临床效果及对疼痛程度的影响。方法 方便选取2021年8月—2022年8月邳州市中医院收治的86例腹股沟疝患者为研究对象。按照随机数表法分为两组,每组43例。对照组患者采取开放式无张力腹股沟疝修补术治疗,观察组患者采用腹腔镜下经腹膜前疝无张力修补术治疗。比较两组患者围术期指标、术后12 h和24 h疼痛程度、术后并发症发生情况以及术后1年随访复发情况。结果 观察组术中出血量、术后首次下床时间、胃肠功能恢复时间、住院时间均优于对照组,差异有统计学意义(P<0.05)。观察组术后12、24 h的疼痛评分均低于对照组,差异有统计学意义(P<0.05)。观察组术后并发症发生率为2.33%,低于对照组的18.61%,差异有统计学意义(χ^(2)=4.468,P<0.05)。观察组随访1年复发率为2.33%,低于对照组的6.98%,差异无统计学意义(χ^(2)=0.262,P>0.05)。结论采用腹腔镜下经腹膜前疝无张力修补术治疗腹股沟疝患者,可取的理想的手术效果,术后疼痛程度低,并发症少,且术后极少发生病情复发。

Objective To explore the clinical effect of laparoscopic transperitoneal preperitoneal hernia tension-free repair in treating inguinal hernia patients and the effect on the pain level.Methods 86 patients with inguinal hernia admitted to Pizhou Hospital of Traditional Chinese Medicine from August 2021 to August 2022 were conveniently selected as study subjects.Randomized numerical table method was divided into two groups,each with 43 cases.The patients in the control group were treated with open tension-free inguinal hernia repair,and the patients in the observation group were treated with laparoscopic transperitoneal preperitoneal hernia tension-free repair.The perioperative indexes,postoperative pain level at 12 h and 24 h,the occurrence of postoperative complications,and the recurrence of 1-year postoperative follow-up were compared between the two groups.Results Intraoperative bleeding,postoperative first time out of bed,gastrointestinal function recovery time,and hospitalization time of the observation group were better than those of the control group,and the difference was statistically significant(P<0.05).The pain scores of the observation group were lower than those of the control group at 12 h and 24 h after surgery,and the difference was statistically significant(P<0.05).The postoperative complication rate of 2.33%in the observation group was lower than 18.61%in the control group,and the difference was statistically significant(χ^(2)=4.468,P<0.05).The recurrence rate of 2.33%in the observation group was lower than 6.98%in the control group during the 1-year follow-up period,but the difference was not statistically significant(χ^(2)=0.262,P>0.05).Conclusion The use of laparoscopic transperitoneal preperitoneal hernia tension-free repair to treat patients with inguinal hernia can achieve ideal surgical results,with a low level of postoperative pain,few complications,and very few postoperative recurrences of the condition.