临床普外科电子杂志 ›› 2025, Vol. 13 ›› Issue (2): 77-.

• • 上一篇    下一篇

开放式无张力疝修补术与腹腔镜下经腹膜前疝修补术治疗成人腹股沟疝患者的临床效果观察

  

  1. 苏州市相城区漕湖人民医院 普外科,江苏 苏州 215144
  • 出版日期:2025-04-01 发布日期:2025-08-11

Observation of the clinical efficacy of open tension-free hernia repair and laparoscopic retroperitoneal hernia repair in the treatment of adult inguinal hernia patients

  1. General Surgery Department of Caohu People's Hospital of Xiangcheng District in Suzhou, Jiangsu Suzhou 215144, China
  • Online:2025-04-01 Published:2025-08-11

摘要:

目的 对比开放式无张力疝修补术与腹腔镜下经腹膜前疝修补术治疗成人腹股沟疝患者的不同疗效。方法 选取 2021 年 1 月至 2024 年 12 月于苏州市相城区漕湖人民医院接受治疗的成人腹股沟疝患者 80 例,采取不同手术方式分为对照组(20 例)和观察组(60 例),对照组采用开放式无张力疝修补术,观察组采用腹腔镜下经腹膜前疝修补术,对比两组治疗效果。结果 观察组患者的手术用时较对照组短,手术出血量较少,且疼痛持续时间、术后肛门排气时间、首次下床活动时间和住院时间均短于对照组,差异均有显著性(P ≤ 0.001)。观察组与对照组并发症发生率分别为 10.00%、30.00%,差异有显著性(P < 0.05)。结论 经腹膜前疝修补术治疗成人疝患者,能够提高手术安全性,降低手术并发症发生风险,提高术后恢复效果。

关键词: 无张力疝修补手术, 经腹膜前疝修补术, 腹股沟疝

Abstract:

Objective To compare the different therapeutic effects of open tension-free hernia repair and laparoscopic retroperitoneal hernia repair. Method Eighty adult patients with inguinal hernia who received treatment at Caohu People's Hospital of Xiangcheng District in Suzhou City from January 2021 to December 2024 were selected. They were divided into a control group (20 cases) and an observation group (60 cases) using different surgical methods. The control group received open tension-free hernia repair surgery, while the observation group received laparoscopic retroperitoneal hernia repair surgery. The treatment effects of the two groups were compared. Result The observation group had a shorter surgical time and less surgical bleeding compared to the control group, and the duration of pain, postoperative anal exhaust time, and first mobilization time were all shorter than those of the control group, with significant differences (P ≤ 0.001). The incidence of complications in the observation group and the control group was 10.00% and 30.00%, respectively, with a significant difference (P < 0.05). Conclusion Peritoneal hernia repair surgery can improve surgical safety, reduce the risk of surgical complications, and enhance postoperative recovery in adult hernia patients.

Key words: Tension-free hernia repair surgery, Peritoneal hernia repair surgery, Inguinal hernia