腹腔镜完全腹膜外疝修补术治疗腹股沟疝临床分析

目的：探讨腹腔镜完全腹膜外疝修补术治疗腹股沟疝临床效果,为腹股沟疝修补治疗提供参考。方法：腹股沟疝患者120例根据入院顺序平分为治疗组与对照组各60例,对照组采用开放后入路腹股沟疝修补术,治疗组采用腹腔镜完全腹膜外疝修补术。结果：经过对比观察,治疗组的住院时间明显短于对照组（P〈0.05）,治疗费用明显多于对照组（P〈0.05）。在随访中,两组均无复发情况发生,也均无严重并发症发生,两组并发症与复发情况对比差异无统计学意义（P〉0.05）。同时治疗组术后2例发生疼痛,对照组有10例术后疼痛,治疗组术后疼痛的例数明显少于对照组（P〈0.05）。结论：腹腔镜完全腹膜外疝修补术治疗腹股沟疝能够减少住院时间,同时不大量增加并发症,术后无复发情况,值得推广应用。

The clinical analysis of laparoscopic totally extraperitoneal hernia repair for treating inguinal hernia

Objective： To evaluate the effects of laparoscopic totally extraperitoneal hernia repair for treating inguinal hernia for giving reference of inguinal hernia repair. Methods： 120 patients with inguinal hernia were eqully divided into two groups-the treatment group and control group, the control group treated by an open inguinal hernia repair, the treatment group were teated by the totally extraperitoneal laparoscopic hernia repair. Results： After a comparative study, the treatment group′s hospital stay was significantly shorte than the control group （P0.05）, the treatment costs was significantly more than the control group （P0.05）. In the follow-up, no recurrence occurred in both groups. Also no serious complications, compared two groups of complications and recurrence was no significant difference （P0.05）. Treatment of postoperative pain also occurred in 2 patients in the control group, 10 cases of postoperative pain, postoperative pain of patients with the treatment group was significantly less than the control group （P0.05）. Conclusion： Laparoscopic totally extraperitoneal hernia repair for treating inguinal hernia can reduce hospital stay, without a significant increase in complications and patients without recurrence, should be widely applied.