临床普外科电子杂志 ›› 2024, Vol. 12 ›› Issue (4): 27-.

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不同方式的无张力疝修补术治疗腹股沟疝的临床分析

  

  1. 江阴市青阳医院 普外科,江苏 江阴 214401
  • 出版日期:2024-10-01 发布日期:2024-12-25

Clinical analysis of diff erent methods of tension-free hernia repair for the treatment of inguinal hernia

  1. General Surgery Department of Qingyang Hospital in Jiangyin City, Jiangsu Jiangyin 214401, China
  • Online:2024-10-01 Published:2024-12-25

摘要:

目的 探讨腹腔镜平片无张力疝修补术与疝环填充式无张力修补术治疗腹股沟疝的临床疗效。方法 选取 2021 年 1 月至 2023 年 12 月江阴市青阳医院收治的 90 例腹股沟疝患者,根据不同手术方式分为研究组和常规组,各 45 例。常规组采用疝环填充式无张力修补术,研究组患者采用腹腔镜式平片无张力疝修补术,比较两组患者的手术相关指标、治疗效果以及并发症情况。结果 研究组患者的总治疗有效率(97.78%)显著高于常规组(75.56%),研究组患者的手术时长及术后下床时间均短于常规组,术中出血量少于常规组,差异均有显著性(P < 0.05)。研究组患者的并发症发生率为 2.22%(1/45),显著低于常规组[6.67%(3/45)],差异具有显著性(χ2=4.406,P=0.036)。结论 腹腔镜式平片无张力疝修补术在腹股沟疝的治疗中安全有效,且并发症发生风险较低。

关键词: 腹股沟疝, 无张力疝修补术, 腹腔镜

Abstract:

Objective To explore the clinical effi cacy of laparoscopic plain tension-free hernia repair and hernia ring filling tension-free hernia repair in the treatment of inguinal hernia. Method Ninety patients with inguinal hernia admitted to Qingyang Hospital in Jiangyin City from January 2021 to December 2023 were selected and divided into a study group and a routine group, with 45 patients in each group, based on diff erent surgical methods. The conventional group underwent tension-free hernia repair with hernia ring filling, while the study group underwent laparoscopic plain mesh tension-free hernia repair. The surgical related indicators, treatment outcomes,and complications of the two groups were compared. Result The overall treatment effi cacy rate of the study group patients (97.78%) was significantly higher than that of the conventional group (75.56%). The surgical duration and postoperative time to get out of bed of the study group patients were shorter than those of the conventional group, and the intraoperative blood loss was less than that of the conventional group, with signifi cant diff erences (P < 0.05). The incidence of complications in the study group was 2.22% (1/45), signifi cantly lower than that in the conventional group [6.67% (3/45)], and the difference was significant (χ2=4.406, P=0.036). Conclusion Laparoscopic plain fi lm tension-free hernia repair is safe and eff ective in the treatment of inguinal hernia, with a lower risk of complications.

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