梁艳秋



腹腔镜疝修补术与开放式无张力疝修补术临床疗效对比分析

梁艳秋

【摘要】目的 对比分析腹腔镜疝修补术与开放式无张力疝修补术临床疗效。方法 收集2012年3月～2015年3月来我院进行治疗的116例腹股沟疝患者按照随机数字表法分为两组，研究组和对照组各58例，研究组使用腹腔镜疝修补术治疗；对照组实施开放式无张力疝修补术。结果 研究组的住院时间、恢复正常活动时间与对照组比较均较短，术后1 d、术后1个月的VAS评分、并发症总发生率与对照组比较更低，而住院费用比对照组多，差异有统计学意义（P＜0．05）；两组手术时间差异不具有统计学意义（P＞0．05）。结论 腹腔镜疝修补术与开放式无张力疝修补术均可作为治疗腹股沟疝的有效的治疗方法，但是与开放式无张力疝修补术的效果比较，腹腔镜疝修补术治疗患者住院时间及恢复正常活动时间更短、疼痛程度更轻，患者更易于接受，但腹腔镜疝修补术医疗费用较高，腹股沟疝患者选择何种术式治疗需综合考虑具体情况而定。

【关键词】腹股沟疝；腹腔镜；疝修补术；无张力

Objective To compare the clinical efficacy of the inguinal hernia patients treated with laparoscopic hernia repair and open tension-free hernia repair．Methods 116 cases of inguinal hernia patients who were collected from March 2012 to March 2015 in our hospital were divided into two groups according to the random number table，there were 58 cases in the study group and the control group，the study group was treated with laparoscopic hernia treatment，the control group was given the open tension-free hernia repair． Results The hospitalization time，time to resume normal activities

of the study group were significantly shorter than the control group，VAS score on the postoperative 1 d，after a month，the overall incidence of complications were lower than the control group，while hospital costs was significantly higher，and the difference was statistically significant（P＜0．05），there were no significant difference in the operation time between two groups（P＞0．05）． Conclusion Laparoscopic hernia repair and open tensionfree hernia repair can be an effective treatment method for the treatment of inguinal hernia，but compared with the open tension-free hernia repair results，laparoscopic hernia repair patients treated with hospitalization and recovery normal activity time is shorter，lighter pain，patients were more easily accepted，but the higher medical costs of laparoscopic hernia repair，inguinal hernia patients the choice of surgical treatment needs into account specific circumstances．

【Key words】 Inguinal hernia，Laparoscopic，Hernia repair，Tension-free

腹股沟疝是临床常见病之一，主要是指腹腔内脏器通过腹股沟区的缺损向体表突出之后形成的疝，发病率较高，老年男性为该病的主要发病人群，临床多用手术的方法对腹股沟疝进行治疗［1］。随着医学技术的不断进步及腹腔镜技术的不断完善，目前腹腔镜腹股沟疝修补术由于具有操作简单、对患者损伤小、疼痛轻、美观性好等优点而成为临床治疗腹股沟疝的一种常用技术，患者更易于接受［2］。……