腹腔镜完全腹膜外补片植入术与Lichtenstein无张力疝修补术治疗女性腹股沟疝的效果对比

Comparison on the Effects Between Laparoscopic Totally Extraperitoneal Patch Implantation and Lichtenstein Tension-Free Hernia Repair in the Treatment of Female Inguinal Hernia

目的比较腹腔镜完全腹膜外补片植入术与Lichtenstein无张力疝修补术治疗女性腹股沟疝患者的效果以及安全性。方法 80例女性腹股沟疝患者根据手术方式分为腹腔镜组(腹腔镜完全腹膜外补片植入术, 35例)和常规组(Lichtenstein无张力疝修补术, 45例),比较两组的围手术期指标和并发症。结果腹腔镜组患者的手术时间显著长于常规组,术中出血量、下床活动时间及住院时间均显著少于常规组(P <0.05)。腹腔镜组患者的并发症发生率显著低于常规组(2.86%vs. 17.78%, P <0.05)。结论腹腔镜完全腹膜外补片植入术治疗女性腹股沟疝,相对Lichtenstein无张力疝修补术能减轻患者手术创伤,降低并发症发生率。

Objective To compare the effects and safety between laparoscopic totally extraperitoneal patch implantation and Lichtenstein tension-free hernia repair in the treatment of female patients with inguinal hernia.Methods 80 cases of female patients with inguinal hernia were divided into two groups according to the surgical methods.35 cases of laparoscopic group were treated with laparoscopic totally extraperitoneal patch implantation,and 45 cases of routine group were treated with Lichtenstein tension-free hernia repair.The perioperative indicators and complications were compared between the two groups.Results The operation time of laparoscopic group was significantly longer than that of routine group,and the intraoperative blood loss,out-of-bed activity time and hospitalization time were significantly less than those of routine group(P<0.05).The incidence of complications of laparoscopic group was significantly lower than that of routine group(2.86%vs.17.78%,P<0.05).Conclusions Compared with Lichtenstein tension-free hernia repair,laparoscopic totally extraperitoneal patch implantation can reduce the surgical trauma and reduce the incidence of complications.