腹腔镜下经腹膜前疝修补术和传统腹股沟径路疝修补术的临床应用效果

Clinical Application Effect of Laparoscopic Preperitoneal Hernia Repair and Traditional Inguinal Hernia Repair

目的 探究腹腔镜下经腹膜前疝修补术的应用效果。方法 目的选取2023年1月-2024年1月泗阳医院收治的腹股沟疝患者72例进行研究,按治疗方法不同分为对照组(n=36,传统腹股沟径路疝修补术)和观察组(n=36,腹腔镜下经腹膜前疝修补术),比较两组手术指标、并发症与炎症因子。结果 观察组手术指标、术后3 d炎症因子水平与对照组比较,差异有统计学意义(P均<0.05)。观察组术后并发症率2.78%(1/36)比对照组19.44%(7/36)低,差异有统计学意义(χ^(2)=5.063,P<0.05)。结论 相较于传统手术,腹腔镜下经腹膜前疝修补术疗效更突出,术中失血及术后疼痛时间等手术指标更好,术后出现并发症的概率更小,患者炎症反应明显更轻微,可加快术后康复速度。

Objective To explore the application effect of laparoscopic preperitoneal hernia repair.Methods From January 2023 to January 2024,72 cases of inguinal hernia admitted to Siyang Hospital were objectively selected and divided into control group(n=36,traditional inguinal hernia repair)and observation group(n=36,laparoscopic preperi-toneal hernia repair)by different treatment.The surgical indexes,complications and inflammatory factors of the two groups were compared.Results There were statistically significant differences between the observation group and the control group in the operation index and the level of inflammatory factors 3 days after operation(all P<0.05).The post-operative complication rate of observation group was 2.78%(1/36),lower than 19.44%(7/36)of control group,the dif-ference was statistically significant(χ^(2)=5.063,P<0.05).Conclusion Compared with traditional surgery,laparoscopic preperitoneal hernia repair is more effective,with better surgical indexes such as intraoperative blood loss and postop-erative pain time,less probability of postoperative complications,and less inflammatory reaction of patients,which can speed up postoperative rehabilitation.