临床普外科电子杂志 ›› 2023, Vol. 11 ›› Issue (2): 29-.

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腹腔镜下疝修补术治疗腹股沟疝的临床疗效

  

  1. 连云港市灌南县第一人民医院 普外科,江苏 连云港灌南 223500
  • 出版日期:2023-04-01 发布日期:2023-05-23

Clinical effect of laparoscopic hernioplasty for inguinal hernia

  1. General Surgery Department of The First People's Hospital of Guannan County in Lianyungang City, Jiangsu Lianyungang Guannan 223500, China
  • Online:2023-04-01 Published:2023-05-23

摘要:

目的 探讨在治疗腹股沟疝患者时采取腹腔镜下疝气修补术的应用价值,观察患者预后情况,对治疗效果进行评价。方法 选取2021 年5 月到2022 年5 月连云港市灌南县第一人民医院收治的80 例腹股沟疝患者,随机数字表法分成两组,对照组(n=40)采取开放式腹股沟疝无张力修补术,研究组(n=40)采取腹腔镜下疝修补术,对比两组患者手术及术后相关指标、生活质量评分、疼痛及睡眠评分、并发症发生情况。结果 研究组患者手术时间长于对照组,术后下床时间、住院时间均更短,且术中出血量少于对照组,差异均有显著性(P < 0.05);研究组疼痛评分、睡眠质量评分及并发症发生率均低于对照组,差异均有显著性(P < 0.05)。结论 采取腹腔镜下疝修补术治疗腹股沟疝患者,可改善患者临床症状,减轻术后疼痛感,能够提高其生活质量,临床安全性较高。

关键词: 腹股沟疝, 开放式腹股沟疝无张力修补术, 腹腔镜下疝修补术, 生活质量

Abstract:

Objective To explore the application value of laparoscopic hernioplasty in the treatment of inguinal hernia, observe the prognosis of patients, and evaluate the treatment effect. Method 80 patients with inguinal hernia admitted to the First People's Hospital of Guannan County, Lianyungang City from May 2021 to May 2022 were randomly divided into two groups by digital table method. The control group (n=40) adopted open tension-free inguinal hernia repair. The study group (n=40) adopted laparoscopic hernia repair. The operation and postoperative related indicators, quality of life scores, pain and sleep scores, and complications of the two groups were compared. Result The operation time of the patients in the study group was longer than that in the control group, the time of getting out of bed and hospitalization were shorter after operation, and the amount of intraoperative bleeding

was less than that in the control group, with significant difference (P < 0.05); The pain score, sleep quality score and complication rate in the study group were significantly lower than those in the control group (P < 0.05). Conclusion Laparoscopic hernioplasty for inguinal hernia can improve the clinical symptoms, relieve postoperative pain, improve the quality of life and clinical safety.

Key words: Inguinal hernia, Open tension-free repair of inguinal hernia, Laparoscopic hernioplasty, Quality of life