不同方式的腹股沟疝腹膜前无张力疝修补术的临床对比研究

洪绍昆

[摘要] 目的 不同方式的腹膜前无张力疝修补术治疗腹股沟疝的临床对比研究。 方法 方便选取该院2017年1月—2018年1月收治的114例腹股沟疝患者，随机分为观察组（n=57）和对照组（n=57），观察组行腹腔镜完全腹膜外疝修补术（TEP）治疗，对照组行开腹腹膜前网片植入术治疗，对比两组治疗效果，包括治疗有效率、住院时间、并发症发生率3个方面。 结果 观察组患者住院时间平均（1.3±0.2）d，对照组为（2.2±0.5）d，组间差异有统计学意义（t=11.547，P<0.05），觀察组并发症发生率3.50%，对照组为21.04%，组间差异有统计学意义（χ2=22.825，P<0.05）。两组治疗有效率均较为100.00%，差异无统计学意义（χ2=0.003，P>0.05）。 结论 与开腹腹膜前网片植入术相比，行腹腔镜完全腹膜外疝修补术治疗腹股沟疝结果较理想，能够保证手术效果，也能控制并发症，后续临床工作中可予以推广。

[关键词] 腹腔镜;开腹腹膜前修补术;腹股沟疝;术后感染

[中图分类号] R5          [文献标识码] A          [文章编号] 1674-0742（2019）05（a）-0055-03

[Abstract] Objective To compare the clinical effects of different kinds of preperitoneal tension-free hernioplasty in the treatment of inguinal hernia. Methods A total of 114 patients with inguinal hernia admitted to our hospital from January 2017 to January 2018 were convenient selected and divided into two groups： observation group（n=57） and control group （n=57）. The observation group was treated with laparoscopic total extraperitoneal hernia repair（TE）， while the control group was treated with open preperitoneal mesh implantation. The therapeutic effects of the two groups were compared， including therapeutic effectiveness， safety， hospitalization time and incidence of complications. Results The average hospitalization time of the patients in the observation group was （1.3±0.2） days， and that of the control group was （2.2±0.5） days. There was a significant difference between the two groups （t=11.547，P<0.05）. The incidence of complications in the observation group was 3.50%， and that in the control group was 21.04%. There was a significant difference between the two groups （χ2=22.825，P<0.05）. The effective rate of the two groups was 100.00%， the difference was not significant （χ2=0.003，P>0.05）. Conclusion Compared with open preperitoneal mesh implantation， laparoscopic total extraperitoneal herniorrhaphy for inguinal hernia has a better result， which can ensure the operation effect and control complications. It can be popularized in the follow-up clinical work.

[Key words] Laparoscopy; Open preperitoneal repair; Inguinal hernia; Postoperative infection

腹股沟疝（inguinal hernia）是一种较为常见的普通外科疾病，男性发病率高于女性，多指腹腔内组织通过腹股沟区的缺损，向体表突出形成的组织隆起、包块，可分为直疝、斜疝两种。该疾病不会直接威胁患者生命安全，但存在疝内容物嵌顿的可能，需及时治疗。目前各地普遍以外科手术方式进行处理。腹腔镜完全腹膜外疝修补术（TEP）及开腹腹膜前修补术为临床用于治疗腹股沟疝的两种常见术式，研究指出不同手术方法下，最终的治疗效果存在差异，该院方便选取2017年1月—2018年1月收治的114例腹股沟疝患者，针对相关内容进行了调查，现报道如下。

1  资料与方法

1.1  一般资料