膜外腹腔镜疝气修补术对腹股沟疝患者术后并发症的影响

The Effect of Extraperitoneal Laparoscopic Hernia Repair on Postoperative Complications in Patients with Inguinal Hernia

目的探究膜外腹腔镜疝气修补术对腹股沟疝患者术后并发症的影响。方法选择尤溪县医院2021年1月至2022年6月收治的110例腹股沟疝拟行手术治疗的患者作为对象,采用随机数字表法对患者进行分组,对照组(55例)予以传统疝气治疗,观察组(55例)予以腹膜外腹腔镜疝气修补术,对比两组围手术相关指标、应激反应指标、并发症发生情况。结果观察组手术时间、术中出血量、VAS评分低于对照组(P<0.05);术后3 d,两组患者Cor、NE水平较术前提升,观察组Cor、NE水平低于对照组(P<0.05);观察组术后并发症发生率较对照组低(P<0.05)。结论采用膜外腹腔镜疝气修补术的方式对股沟疝患者进行治疗,能改善围术期相关指标,提升手术质量,降低术后应激反应以及并发症发生率。

Objective To explore the effects of paramembrane laparoscopic hernia repair on postoperative complications in patients with inguinal hernia.Methods Select a total of 110 patients with inguinal hernia treated from January 2021 to June 2022,group patients,control group(55 cases)traditional hernia treatment,observation group(55 cases)extraperitoneal laparoscopic hernia repair,compare the two groups of related indicators,stress response,complications.Results The observation group had shorter operative time,less intraoperative blood loss,and VAS scores compared to the control group(P<0.05).compared with the two groups,the observation group of the operation time,intraoperative bleeding,were low(P<0.05);Three days after surgery,both groups showed increased levels of Cor and NE compared to pre-surgery,but the observation group had lower levels of Cor and NE compared to the control group(P<0.05);Compared with the two groups,the incidence of postoperative complications was lower in the observation group(P<0.05).Conclusions Patients with inguinal hernia can improve the perioperative index,improve the quality of surgery,and reduce the postoperative stress response and complications.