腹腔镜经腹腔腹膜前修补术在腹股沟疝中的应用安全性分析

Safety Analysis of Laparoscopic Transabdominal Preperitoneal Repair in Inguinal Hernia

目的分析腹腔镜经腹腔腹膜前修补术应用于腹股沟疝中的效果。方法便利选取2019年1月—2023年1月无锡市惠山区中医医院普外科收治的75例腹股沟疝患者为研究对象,依据采用不同手术方法分为参考组(37例)与观察组(38例),参考组开展平片式无张力疝修补术,观察组腹腔镜经腹腔腹膜前修补术治疗,对比两组患者手术情况、恢复情况、康复有效率、并发症发生率、复发率。结果两组患者的手术时间、康复有效率、术后最高体温比较,差异无统计学意义(P均>0.05)。观察组下床活动时间、排气时间、住院时间均短于参考组,出血量少于参考组,复发率低于参考组,差异有统计学意义(P均<0.05)。观察组并发症发生率为5.26%(2/38),低于参考组的27.03%(10/37),差异有统计学意义(χ^(2)=6.607,P<0.05)。结论腹腔镜经腹腔腹膜前修补术应用于腹股沟疝中的效果确切,安全性较好。

Objective To analyze the effect of laparoscopic transabdominal preperitoneal repair in inguinal hernia.Methods A total of 75 patients with inguinal hernia admitted to the Department of General Surgery,Huishan District Hospital of Traditional Chinese Medicine,Wuxi City from January 2019 to January 2023 were conveniently selected as the research objects.They were divided into reference group(37 cases)and observation group(38 cases)by different surgical methods.The reference group was treated with plain film tension-free hernia repair,and the observation group was treated with laparoscopic transperitoneal preperitoneal repair.The operation,recovery,rehabilitation e fficiency,complication rate and recurrence rate were compared between the two groups.Results There was no significant difference in operation time,rehabilitation efficiency and postoperative highest body temperature between the two groups(all P>0.05).The time of getting out of bed,exhaust and hospitalization in the observation group were shorter than those in the reference group,the amount of bleeding was less than that in the reference group,and the recurrence rate was lower than that in the reference group,the differences were statistically significant(all P<0.05).The incidence of complications in the observation group was 5.26%(2/38),which was lower than 27.03%(10/37)in the reference group,the difference was statistically significant(χ^(2)=6.607,P<0.05).Conclusion Laparoscopic transabdominal preperitoneal repair has a definite effect on inguinal hernia and has good security.