腹腔镜经腹腹膜前疝修补术与开放无张力疝修补术治疗腹股沟疝的疗效对比

Comparison of the Effect of Laparoscopic Transabdominal Preperitoneal Hernia Repair and Open Tension-free Hernia Repair in the Treatment of Inguinal Hernia

目的对比治疗腹股沟疝采用腹腔镜经腹腹膜前疝修补术与开放无张力疝修补术的疗效。方法回顾性选取2022年6月至2023年12月在天水市第一人民医院治疗腹股沟疝的120例男性患者作为研究对象,按照手术治疗的方式不同分为研究组与对照组,研究组60例,采用腹腔镜经腹腹膜前疝修补术治疗,对照组60例,采用开放无张力疝修补术治疗。通过观察两组患者的围手术期指标、术后炎症因子数值变化、术后并发症、疼痛程度等指标进行疗效对比。结果在围手术期指标方面,研究组患者除手术时长高于对照组外,其余指标均低于对照组,差异具有统计学意义(P<0.05);两组患者术后的炎症因子均有所上升,但研究组的炎症因子水平上升范围明显低于对照组,差距具有统计学意义(P<0.05);两组患者术后1h的视觉模拟评分(Visual Analogue Scale,VAS)相比术前都有不同程度的上升,但研究组的上升范围低于对照组,差距具有统计学意义(P<0.05);研究组患者术后并发症:尿潴留1例、切口感染2例、阴囊水肿2例,并发症总发生率8.33%;对照组患者术后并发症:尿潴留1例、切口感染3例、阴囊水肿1例、脏器损伤1例,并发症总发生率10%,差异无统计学意义(P>0.05)。结论使用腹腔镜经腹腹膜前疝修补术进行治疗后,患者的各项身体机能恢复较快,疗效显著,值得临床推广应用。

Objective To compare the efficacy of laparoscopic transabdominal preperitoneal hernia repair and open tension-free hernia repair in the treatment of inguinal hernia.Methods 120 male inguinal hernia patients treated in the First People’s Hospital of Tianshui City from June 2022 to December 2023 were retrospectively selected as the study subjects.They were divided into the study group and the control group according to different surgical treatment methods.In the studygroup(60 cases),laparoscopic transabdominal preperitoneal hernia repair was used as the treatment method.The control group(60 cases)was treated with open tension-free hernia repair.By observing perioperative indexes,postoperative inflammatory factor value changes,postoperative complications,pain degree,and other indexes of the two groups of patients,corresponding experimental results were obtained.Results In terms of perioperative indexes,All perioperative indicators exceptthe operation duration of the study group was lower than those of the control group,and the difference was statistically significant(P<0.05).After surgery,theinflammatory factors increased in both groups,but the degree of increase of the inflammatory factors in the study group was significantly lower than that in the control group(P<0.05).VAS scores of the studygroup at 1h after surgery increased compared with those before surgery for both group,but the degree of increase of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Postoperative urinary retention occurred in 1 case,incision infection occurred in 2 cases,and scrotal edema occurred in 2 cases,with a total incidence of 8.33%.In the control group,postoperative complications included 1 case of urinary retention,3 cases of incision infection,1 case of scrotal edema,and 1 case of organ injury,with a total incidence of 10%.There’s no statistical significant difference between them(P>0.05).Conclusion After treated with laparoscopic transabdominal preperitoneal hernia repair,the patient’s various physical functions recover quickly,and the effect is significant,so it’s worthy of popularization and application.