三种疝修补术治疗成人腹股沟疝的疗效比较

目的比较腹腔镜下经腹腹膜前疝修补术与传统腹股沟疝修补术、疝环充填式无张力疝修补术治疗成人腹股沟疝的疗效。 方法选取2016年4月至2020年4月芜湖市第一人民医院收治的150例腹股沟疝患者作为研究对象，随机将其分为3组，每组50例。A组行传统腹股沟疝修补术，B组行疝环充填式无张力疝修补术，C组行腹腔镜下经腹腹膜前疝修补术。比较3组患者的临床总有效率，手术时间，出院时间，术中出血量，术后24 h、1周及1个月的疼痛视觉模拟评分（VAS），复发率以及并发症情况。 结果B组和C组患者在临床总有效率，手术时间、出院时间、术中出血量、术后各时段的VAS评分、复发率及并发症均优于A组，差异有统计学意义（P<0.05）。B组和C组相比，C组在手术时间、住院时间、各时段VAS评分优于B组，差异有统计学意义（P<0.05）。 结论三种手术方式比较发现，腹腔镜下经腹腹膜前疝修补术与疝环填充式无张力疝修补术具有良好的临床效果，恢复迅速，可缩短住院时间，缓解术后疼痛，降低复发率和并发症发生风险，缓解了患者的疼痛，就术后疼痛、术后恢复和手术时间而言，腹腔镜下经腹腹膜前疝修补术更优越。

Comparison of the efficacy of three hernia repair procedures in the treatment of adult inguinal hernia

ObjectiveTo compare the efficacy of laparoscopic transabdominal preperitoneal hernia repair with traditional inguinal hernia repair and hernia ring filling tension-free hernia repair in adult inguinal hernia. MethodsA total of 150 patients with inguinal hernia admitted from April 2016 to April 2020 were randomly divided into three groups, with 50 patients in each group. Group A received traditional inguinal hernia repair, group B received hernia ring filling for tension-free hernia repair, and group C received laparoscopic transabdominal preperitoneal hernia repair. The total clinical response rate, operation time, discharge time, intraoperative blood loss, visual analogue scale (VAS) score at 24 hours, one week, and one month after surgery, recurrence rate, and complications of patients in the three groups were compared. ResultsPatients in group B and group C were superior to group A in terms of total clinical response rate, operation time, discharge time, intraoperative blood loss, VAS score at 24 hours, one week, and one month after surgery, recurrence rate, and complications, with statistical significance (P<0.05). Compared with group C, the VAS score of group C was superior to that of group B in operation time, hospital stay, 24 h after surgery, one week after surgery, and one month after surgery, with statistical significance (P<0.05). ConclusionThree kinds of operation methods are found, before laparoscopic abdominal peritoneal hernia repair, which was hernia ring filling type without tension hernia repair with good clinical effect, recovers quickly, reduces the length of hospital stay, alleviates postoperative pain, reduces the recurrence rate and risk of complications, and reduces the pain of the patients. In terms of postoperative pain, postoperative recovery, and operation time, laparoscopic transabdominal preperitoneal hernia repair is superior.