临床普外科电子杂志 ›› 2022, Vol. 10 ›› Issue (3): 111-.

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腹腔镜疝修补术与开放式无张力疝修补术治疗成人腹股沟疝的疗效观察

  

  1. 如皋磨头医院 普外科,江苏 如皋 226500
  • 出版日期:2022-07-01 发布日期:2022-10-25

Laparoscopic hernia repair and open tension-free hernia repair in the treatment of adult inguinal hernia

  1. General Surgery Department of Rugao Motou Hospital, Jiangsu Rugao 226500, China
  • Online:2022-07-01 Published:2022-10-25

摘要:

目的 评价腹腔镜疝修补术和开放式无张力疝修补术在成人腹股沟疝中的应用效果。方法 选取2018 年1 月至2021 年2 月如皋磨头医院住院的98 例成人腹股沟疝患者,采用随机数表法将其分成两组,各49 例。研究组应用腹腔镜疝修补手术,对照组应用开放式无张力疝修补术,比较两组患者的治疗总有效率、手术指标、术后恢复情况及术后并发症。结果 研究组患者治疗总有效率显著高于对照组(P < 0.05);研究组患者手术时间短于对照组,术中出血及住院花费均显著少于对照组(P < 0.05)。研究组患者的疼痛持续时间、首次下床活动时间、首次正常活动时间、总住院时间均短于对照组(P < 0.05),且术后并发症发生率显著低于对照组(P < 0.05)。结论 腹腔镜疝修补手术治疗与传统的开放式无张力疝修补手术治疗方法相比,提高了手术疗效,降低了术后的并发症,对患者的术后恢复具有重要意义。

关键词: 无张力疝修补术, 腹腔镜疝修补术, 成人腹股沟疝

Abstract:

Objective To evaluate the effect of laparoscopic hernia repair and open tension-free hernia repair in adult inguinal hernia. Method 98 adult patients with inguinal hernia hospitalized in Rugao Motou Hospital from January 2018 to February 2021 were randomly divided into two groups with 49 cases in each group. Laparoscopic hernia repair was used in the study group and open tension-free hernia repair was used in the control group. The total effective rate, surgical indicators, postoperative recovery and postoperative complications were compared between the two groups. Result The total effective rate of the study group was significantly higher than that of the control group (P < 0.05); The operation time of the study group was shorter than that of the control group, and the intraoperative bleeding and hospitalization expenses were significantly less than those of the control group (P< 0.05). The duration of pain, time of getting out of bed, time of returning to normal activities and hospital stay in the study group were shorter than those in the control group (P < 0.05), and the incidence of postoperative complications was significantly lower than that in the control group (P < 0.05). Conclusion Compared with the traditional open tension-free hernia repair, laparoscopic hernia repair can improve the curative effect and reduce the postoperative complications, which is of great significance to the postoperative recovery of patients.

Key words: Tension free hernia repair, Laparoscopic hernia repair, Adult inguinal hernia