腹腔镜经腹腹膜前疝修补术和开放疝修补术治疗嵌顿性腹股沟疝的对比分析  

Comparative Analysis of Laparoscopic Transabdominal Preperitoneal Hernia Repair and Open Hernia Repair for Incarcerated Inguinal Hernia

作　　者：陈猛 CHEN Meng(Department of General Surgery,Nanping Jianyang First Hospital,Nanping 354200,China)

机构地区：[1]南平市建阳第一医院普外科,福建南平354200

出　　处：《中国医药指南》2023年第27期70-73,共4页Guide of China Medicine

摘　　要：目的分析腹腔镜经腹腹膜前疝修补术与开放疝修补术在嵌顿性腹股沟疝患者临床治疗干预中的可行性。方法回顾分析本院于2019年6月至2022年12月间收治的58例嵌顿性腹股沟疝患者的病例资料,按治疗方法不同分为对照组28例和观察组30例。观察组患者采用腹腔镜经腹腹膜前疝修补术治疗,对照组患者采用开放疝修补术治疗,比较两组患者围手术期临床指标、术后VAS评分、术前术后炎性因子及术后并发症发生率差异。结果两组患者治疗总有效率差异不显著(P>0.05),但观察组患者围手术期指标优于对照组(P<0.05);观察组术后48 h肿瘤坏死因子-α、超敏C反应蛋白水平明显高于治疗前,但明显低于对照组,P<0.05;术后患者VAS评分与并发症发生率评分比较,观察组优于对照组(P<0.05)。结论在嵌顿性腹股沟疝患者临床治疗中,采用腹腔镜经腹腹膜前疝修补术治疗方法有助于提升临床治疗效果,对于促进康复、改善术后疼痛的意义重大,值得推广。Objective To analyze the feasibility of laparoscopic transabdominal preperitoneal hernia repair and open hernia repair in the clinical treatment of incarcerated inguinal hernia patients.Methods Retrospective analysis was made on the case data of 58 patients with incarcerated inguinal hernia admitted to our hospital from June 2019 to December 2022 according to different treatment methods,they were divided into control group(28 cases)and observation group(30 cases).Patients in the observation group received laparoscopic transabdominal preperitoneal hernia repair,while patients in the control group received open hernia repair.Perioperative clinical indexes and postoperative VAS scores were compared between the two groups,preoperative and postoperative inflammatory factors and postoperative complications.Results There was no significant difference in the total effective rate between the two groups(P>0.05),but the perioperative indexes of the observation group were better than those of the control group(P<0.05).Tumor necrosis factor-α and hypersensitive C-reactive protein in the observation group were significantly higher than before treatment,but significantly lower than those in the control group(P<0.05).Compared with VAS score and complication rate score,observation group was better than control group(P<0.05).Conclusions In the clinical treatment of incarcerated inguinal hernia,laparoscopic transabdominal preperitoneal hernia repair is helpful to improve the clinical therapeutic effect,which is of great significance for promoting rehabilitation and improving postoperative pain,and is worth popularizing.

关 键 词：嵌顿性腹股沟疝 开放疝修补术 腹腔镜 腹膜前疝修补术 

分 类 号：R656.21[医药卫生—外科学]