不同术式治疗腹股沟疝的临床疗效及预后分析

摘要

Objective To investigate the safety and efficacy oftraditional open inguinal hernia repair and laparoscopic inguinal hernia tension-free repair.Methods The clinical data of 124 patients who underwent inguinal hernia repair in The First People's Hospital of Foshan,People's Hospital of Shiyan and Huadu District People's Hospital of Guangzhou from March 2014 to March 2017 were collected and divided into 2 group according to different surgical procedures.Results The operation time of traditional open inguinal hernia repair group is lower than that of the laparoscopic tension-free repair group,the difference was statistically significant (P＜0.01).There were no significant differences in foreign body sensation,hematoma and scrotal effusion between the 2 groups (P＞0.05).When comparing incision infection,urinary retention and postoperative recurrence,the traditional inguinal hernia repair group was lower than that of laparoscopic tension-free repair group (P＜0.05).There was a correlation between preoperative comorbidities and postoperative complications.Conclusion Laparoscopic tension-free hernia repair is a safe and effective method for inguinal hernia repair,and strengthening the treatment of preoperative complications is helpful to improve the curative effect of inguinal hernia repair.%目的 探讨传统开放式腹股沟疝修补术和腹腔镜腹股沟疝无张力修补的安全性和有效性.方法 收集2014年3月至2017年3月,佛山市第一人民医院、十堰市人民医院和广州市花都区人民医院共完成腹股沟疝修补术124例患者的临床资料,按照术式不同分为2组.试验组患者66例,行腹腔镜无张力腹股沟疝修补术;对照组患者58例,行传统开放式腹股沟疝修补术.跟踪随访记录术后并发症及复发情况.结果 试验组手术时间低于对照组,差异有统计学意义(P＜0.01);2组术后并发症及复发率的构成比较,异物感、血肿和阴囊积液等并发症之间比较,差异无统计学意义(P＞0.05),而切口感染、尿潴留及术后复发方面,试验组明显低于对照组,差异有统计学意义(P＜0.05);患者术前合并症与术后出现并发症具有相关性,差异有统计学意义(P＜0.05).结论 腹腔镜无张力疝修补术是腹股沟疝修补术的一个安全有效的方法,加强术前合并症的治疗有助于提高腹股沟疝修补术的疗效.