腹腔镜完全腹膜外疝修补治疗老年腹股沟疝临床研究

目的：探讨微创完全腹膜外疝修补治疗老年腹股沟疝临床效果及安全性。方法研究对象方便选取该院2010年4月—2015年4月收治老年腹股沟疝患者共60例,以随机区组法分为对照组（30例）和微创组（30例）,分别采用开放和腹完全腹膜外疝修补术式治疗；比较两组患者围手术期临床指标、术后VAS评分及并发症发生率等。结果微创组患者手术时间显著长于对照组（P<0.05）；微创组患者术中出血量和住院时间均显著优于对照组（P<0.05）；对照组和微创组患者术后7 d VAS评分分别为（4.31±1.33）分,（1.78±0.86）分；微创组患者术后7 d VAS评分显著低于对照组（P<0.05）；对照组和微创组患者术后并发症发生率分别为23.33%,3.33%；微创组患者术后并发症发生率显著低于对照组（P<0.05）。结论微创完全腹膜外疝修补治疗老年腹股沟疝在降低手术创伤程度,缩短术后康复所需时间及预防术后并发症发生方面优于开放术式。

Clinical Study of Minimally Invasive Total Abdominal Hernia Repair Opera-tion in Treatment of Elderly Patients with Inguinal Hernia

Objective To investigate the clinical effect and safety of minimally invasive total abdominal hernia repair opera-tion in treatment of elderly patients with inguinal hernia. Methods Convenient selection 60 elderly patients with inguinal hernia were chosen in the period from April 2010 to April 2015 in our hospital and randomly divided into both group in-cluding control group (30 patients) with open abdominal hernia repair operation and minimally invasive group (30 patients) with minimally invasive total abdominal hernia repair operation; and the perioperative clinical index, postoperative VAS score and complication incidence of both groups were compared. Results The operation time of minimally invasive group was significantly longer than control group(P<0.05). The intraoperative blood loss amount and hospitalization staying timeof minimally invasive group was significantly better than control group(P<0.05). The VAS score in 7 d after operation of con-trol group and minimally invasive group were separately (4.31±1.33)points,(1.78±0.86)points. The score in 7 d after opera-tion of minimally invasive group was significantly better than control group (P<0.05). The postoperative complication inci-dence of control group and minimally invasive group were separately 23.33%, 3.33%. The postoperative complication inci-dence of minimally invasive group was significantly better than control group(P<0.05). Conclusion Minimally invasive to-tal abdominal hernia repair operation in treatment of elderly patients with inguinal hernia can efficiently reduce the surgical trauma degree, accelerate the recovery process and be helpful to decrease the postoperative complication incidence.