郭朝晖??罗宏宇??凌云志

[摘要] 目的 研究腹腔镜与开放性疝修补术的效果差异。 方法 选取我院从2014年7月～2016年1月收治的84例腹股沟疝患者作为研究对象，并将患者分成腹腔镜组（腹腔镜疝修补术治疗）和开放组（开放式疝修补术治疗），对比分析两组患者的手术时间、并发症发生率、术后疼痛程度、复发率等指标。 结果 两组患者的手术时间对比差异无统计学意义（P>0.05）；腹腔镜组患者术后1d和30d的VAS评分均比开放组低（P<0.05），且术后并发症发生率9.52%低于开放组的30.95%（P<0.05）；腹腔镜组患者的住院时间更短（P<0.05）。随访6个月腹腔镜组患者复发率2.38%略低于开放组的4.76%（P>0.05）。 结论 与常规的开放式疝修补术相比，腹腔镜疝修补术对患者的创伤更小，利于患者术后的恢复，值得推广应用。

[关键词] 腹腔镜；开放式；疝修补术；腹股沟疝；并发症；VAS

[中图分类号] R656.21 [文献标识码] A [文章编号] 2095-0616（2017）12-169-03

Randomized controlled study of laparoscopic and open hernia repair

GUO Chaohui LUO Hongyu LING Yunzhi

Department of Surgery，Huizhou Sixth People's Hospital，Huizhou 516211，China

[Abstract] Objective To explore the effect difference of laparoscopic and open hernia repair. Methods 84 patients with inguinal hernia cured in our hospital from July 2014 to January 2016 were selected as the study objects.They were divided into laparoscopic group （treated with Laparoscopic hernia repair） and open group （treated with open hernia repair ）.Operation time，complication rate，postoperative pain，recurrence rate and other indicators of the two groups were compared. Results There was no significant difference in operation time between the two groups（P>0.05）.The VAS scores of 1D and 30d in laparoscopic group were lower than those in the open group（P<0.05）.The incidence of postoperative complications in laparoscopic group was 9.52%，which was lower than that of the open group（P<0.05）.The hospitalization time of laparoscopic group was shorter（P<0.05）.After 6 months of follow-up，the recurrence rate of laparoscopic group was 2.38%，which was slightly lower than that of open group with 4.76%（P>0.05）. Conclusion Compared with the conventional open hernia repair，laparoscopic hernia repair for patients has less trauma，conducive to postoperative recovery，and it is worthy of popularization and application.

[Key words] Laparoscope；Open type；Hernia repair；Inguinal hernia；Complication；VAS

腹股溝疝是普外科的一种常见疾病，多采用疝修补术治疗[1]，而自1989年无张力疝修补术被用于临床以来，疝的治疗取得突破性进展，经过二十多年的发展，无张力疝修补术已非常成熟，几乎替代过去的有张力组织缝合术[2-3]。近些年来，腹腔镜技术的快速发展使得其在疝修补术中也得到广泛应用，也在一定程度上推动了疝外科技术的发展，与开放式的疝修补术相比，腹腔镜疝修补术具有创伤小、术后疼痛轻、术后恢复快等优点[4]。为探讨腹腔镜疝修补术与开放式疝修补术的效果差异，特开展本次研究，现报道如下。

1 资料与方法

1.1 一般资料

自我院2014年7月～2016年1月间收治的腹股沟疝患者中随机选出84例为研究对象，全部患者均符合临床上关于腹股沟疝的诊断标准，经体格检查、影像学检查予以确诊，全部患者均知情同意参与本研究，签署知情同意书。排……