经腹腔镜腹完全膜外疝补片植入手术疗效观察与预后影响因素分析

摘要

To evaluate surgery efficacy and prognostic factors analysis of completely laparoscopic ventral hernia patch implant outside of the membrane.Methods:200 cases of patients treated by completely laparoscopic ventral hernia patch implant outside of the membrane surgery (The study group) and 155 cases of patients treated by regular open preperitoneal inguinal hernia repair surgery (The control group).The efficacy were comnpared.Results:The operative time,blood loss,hospital stay time and success rate of the study group were all significantly better than the control group(P<0.05).The use of analgesic drugs and the number of organs and vascular injury were with no statistically significant difference between the two groups.After treatment,there were different degrees of pain in the groin area,while the incidence of the observation group was better than that of the the control group,P<0.05.The relapse rate of the study group at 12 months' follow-up were better than that of the the control group,P<0.05.Conclusion:The surgery efficacy of completely laparoscopic ventral hernia patch implant outside of the membrane was better and worthy of clinical application.%目的：探讨经腹腔镜腹完全膜外疝补片植入手术疗效与预后影响因素。方法：分别选取200例行经腹腔镜腹完全膜外疝补片植入手术(观察组)和155例行开放式腹膜前腹股沟疝修补术(对照组)治疗腹股沟疝的患者进行比较研究。结果：观察组手术时间、术中出血量、住院时间和一次性成功率明显优于对照组,且差异有统计学意义,P<0.05。两组治疗中镇痛药物的使用量和脏器及血管损伤的个数相当,差异无统计学意义。两组患者治疗后腹股沟区域均出现不同程度的疼痛,但观察组发生率少于对照组,P<0.05；两组复发率比较,对照组12个月随访复发率高于观察组,P<0.05。结论：经腹腔镜腹完全膜外疝补片植入手术治疗腹股沟疝的疗效较好,值得临床推广应用。