腹腔镜经腹腔腹膜前疝修补术治疗复发性腹股沟疝的效果及安全性

目的 探讨腹腔镜经腹腔腹膜前疝修补术治疗复发性腹股沟疝的效果及安全性。方法 回顾性选取2018年1月至2021年1月本院收治的72例复发性腹股沟疝患者,依据手术方法将其分为对照组（疝环充填式无张力疝修补术）和研究组（腹腔镜经腹腔腹膜前疝修补术）,每组36例。比较两组的手术相关指标、疼痛程度、应激反应指标及术后并发症发生情况。结果 研究组的术中出血量少于对照组,首次下床时间、疼痛持续时间及住院时间均短于对照组（P<0.05）。术后1、3 d及1周,研究组的SF-MPQ评分均低于对照组（P<0.05）。手术后,两组的β-EP、Cor、CRP水平均较手术前明显升高,但研究组低于对照组（P<0.05）。研究组的术后并发症总发生率为5.56%,低于对照组的25.00%(P<0.05)。结论 与疝环充填式无张力疝修补术相比,采用腹腔镜经腹腔腹膜前疝修补术治疗复发性腹股沟疝可减轻疼痛程度及应激反应,促进患者恢复,安全性更高。

Effect and safety of laparoscopic transperitoneal preperitoneal hernia repair in the treatment of recurrent inguinal hernia

Objective To study the effect and safety of laparoscopic transperitoneal preperitoneal hernia repair in the treatment of recurrent inguinal hernia.Methods Seventy-two patients with recurrent inguinal hernia treated in our hospital from January 2018 to January 2021 were selected retrospectively and divided into control group(mesh-plug tension-free hernia repair)and study group(laparoscopic transperitoneal preperitoneal hernia repair)according to the surgical methods,with 36 cases in each group.The operation related indexes,pain degree,stress response indexes and postoperative complications were compared between the two groups.Results The amount of intraoperative bleeding in the study group was less than that in the control group,and the first time out of bed,pain duration and hospital stay in the study group were shorter than those in the control group(P<0.05).At 1,3 d and 1 week after operation,the SF-MPQ score of the study group was lower than that of the control group(P<0.05).After operation,the levels ofβ-EP,Cor and CRP in the two groups were significantly higher than those before operation,but those of the study group were lower than the control group(P<0.05).The total incidence of postoperative complications in the study group was 5.56%,which was lower than 25.00%in the control group(P<0.05).Conclusion Compared with mesh-plug tension-free hernia repair,laparoscopic transperitoneal preperitoneal hernia repair for recurrent inguinal hernia can reduce the degree of pain and stress response,and promote the recovery of patients,with higher safety.