单孔法腹腔镜疝修补术与三孔法腹腔镜疝修补术的临床应用分析  

Clinical Application Analysis of Single Hole Laparoscopic Hernia Repair and Three Hole Laparoscopic Hernia Repair

作　　者：张亚杰 任为勇 ZHANG Yajie;REN Weiyong(Department of General Surgery,Section Two,Tengzhou Hospital of Traditional Chinese Medicine,Tengzhou 277599,Shandong,China;Department of General Surgery,Section One,Tengzhou Hospital of Traditional Chinese Medicine,Tengzhou 277599,Shandong,China)

机构地区：[1]滕州市中医医院普外二科,山东滕州277599 [2]滕州市中医医院普外一科,山东滕州277599

出　　处：《系统医学》2025年第2期130-133,共4页Systems Medicine

摘　　要：目的分析对比单孔法腹腔镜疝修补术和三孔法腹腔镜疝修补术的临床应用效果。方法非随机选取滕州市中医医院于2021年1月—2024年1月收治的80例行腹腔镜疝修补术患者为研究对象。按照手术方式不同分为两组,三孔组实施三孔法治疗(n=40),单孔组实施单孔法治疗(n=40),比较两组患者各项手术指标、炎症因子水平和疼痛评分、并发症发生率及疝复发率。结果单孔组手术时间较三孔组长,住院时间及下床活动时间较三孔组短,术中呼气末二氧化碳分压峰值较三孔组低,差异有统计学意义(P均<0.05)。术后,三孔组在肿瘤坏死因子α、白细胞介素6水平、疼痛评分以及并发症发生率上,均高于单孔组,差异有统计学意义(P均<0.05)。单孔组疝复发率为2.50%(1/40),低于三孔组的5.00%(2/40),差异无统计学意义(χ^(2)=0.346,P>0.05)。结论与三孔法腹腔镜疝修补术相比,单孔法在住院时间、术后炎症因子水平和并发症发生率等方面具有明显优势,虽然手术时间较长,但整体临床效果更为理想。Objective To analyze and compare the clinical effects of single hole laparoscopic hernia repair and three hole laparoscopic hernia repair.Methods Eighty patients who underwent laparoscopic hernia repair in Tengzhou Hospital of Traditional Chinese Medicine from January 2021 to January 2024 were non-randomly selected as subjects.According to the different surgical methods,they were divided into two groups.The three hole group was treated with three-hole method(n=40),and the single hole group was treated with single-hole method(n=40).The surgical indexes,inflammatory factor levels and pain scores,complication rate and hernia recurrence rate were compared between the two groups.Results The operation time of the single hole group was longer than that of the three hole group,the hospitalization time and the time of getting out of bed were shorter than the three hole group,the peak value of end-tidal carbon dioxide partial pressure during operation was lower than that in the three hole group,and the differences were statistically significant(all P<0.05).After operation,the levels of tumor necrosis factor-α,interleukin6,pain score and incidence of complications in the three hole group were higher than those in the single hole group,and the differences were statistically significant(all P<0.05).The hernia recurrence rate was 2.50%(1/40)in the single hole group,lower than 5.00%(2/40)in the three hole group,and the difference was not statistically significant(χ^(2)=0.346,P>0.05).Conclusion Compared with the three-hole laparoscopic hernia repair,the single-hole method has obvious advantages in hospitalization time,postoperative inflammatory factor level and complication rate.Although the operation time is longer,the overall clinical effect is more ideal.

关 键 词：腹腔镜疝修补术 单孔法 三孔法 腹股沟疝 临床效果 

分 类 号：R4[医药卫生—临床医学]