腹腔镜辅助下小切口手术治疗腹壁切口疝的临床效果

目的分析腹腔镜辅助下小切口手术治疗腹壁切口疝的临床效果。 方法选择2017年1月至2019年1月南京市中西医结合医院收治的100例腹壁切口疝患者，对照组采用开放切口疝修补术，研究组应用腹腔镜辅助下小切口手术治疗，各50例，对比两组治疗效果。 结果研究组术中出血量（22.8±4.3）ml明显少于对照组的（51.7±5.6）ml，术后肛门排气时间、下床活动时间、住院时间均显著少于对照组，差异有统计学意义（均P<0.001）。研究组手术当天VAS评分为（5.7±0.6）分，术后1、2、3 d的VAS评分为（4.7±0.7）分、（2.8±0.5）分、（1.2±0.2）分，显著低于对照组同时间点评分，差异有统计学意义（均P<0.001）。研究组并发症发生率为4.0%（2/50），低于对照组的22.0%（11/50），差异有统计学意义（χ²=7.162，P=0.007）。 结论腹腔镜辅助下小切口手术可有效减轻腹壁切口疝患者的手术创伤和术后疼痛，降低并发症发生风险，从而缩短住院时间，加速患者恢复。

Clinical effect of laparoscopic assisted mini incision in the treatment of abdominal incisional hernia

ObjectiveTo investigate the clinical effect of laparoscopic assisted mini incision in the treatment of abdominal incisional hernia. MethodsFrom January 2017 to January 2019, one hundred patients with abdominal incisional hernia admitted to Nanjing Integrated Traditional Chinese and Western Medicine Hospital were selected and divided into two groups. The control group was treated with open incision hernia repair, and the study group was treated with laparoscopic assisted small incision operation on abdominal wall. The effectiveness results of the two groups were compared. ResultsIn the study group, the amount of bleeding was (22.8±4.3) ml, less than (51.7±5.6) ml of the control group; and the time of anal exhaust, getting out of bed and staying in hospital were much shorter, the difference were statistically significant (all P<0.001). The VAS scores of the study group were (5.7±0.6) on the day of operation, and (4.7±0.7), (2.8±0.5), (1.2±0.2) on the 1st, 2nd and 3rd day after operation, significantly lower than the control group at the same time point score, the difference was statistically significant (all P<0.001). The incidence of complications in the study group was 4.0% (2/50), which was lower than 22.0% (11/50) in the control group (χ²=7.162, P=0.007). Conclusionlaparoscopy assisted small incision operation can effectively alleviate the trauma and postoperative pain of patients with abdominal incisional hernia, reduce the risk of complications, thus shorten the length of stay and accelerate the recovery of patients.