首页|期刊导航|中外医学研究|腹腔镜微创技术在高龄腹股沟疝患者治疗中的安全性与有效性研究

腹腔镜微创技术在高龄腹股沟疝患者治疗中的安全性与有效性研究OA

Study on Safety and Effectiveness of Laparoscopic Minimally Invasive Technique in the Treatment of Elderly Inguinal Hernia

中文摘要英文摘要

目的:评估腹腔镜微创技术应用在高龄腹股沟疝患者治疗中的价值效果.方法:选取 2022 年 2 月—2024 年 5 月苏州市吴中区第二人民医院收治的 80 例高龄腹股沟疝患者为研究对象,依据随机数表法将其分为实验组与对照组,每组各 40 例.对照组仅行传统开放式疝修补术治疗,实验组行腹腔镜微创腹股沟疝修补术.比较两组的治疗有效率、术后恢复情况(首次排气、下床时间、住院时间、住院费用)、疼痛评分及并发症发生率.结果:实验组治疗有效率明显高于对照组,差异有统计学意义(P<0.05).实验组恢复(首次排气、首次下床、住院)时间明显短于对照组,且观察组费用低于对照组,差异有统计学意义(P<0.05).实验组并发症(切口感染、血肿形成、慢性疼痛)发生率明显低于对照组;干预后 1~3 d,实验组疼痛评分显著降低,差异有统计学意义(P<0.05).结论:腹腔镜微创腹股沟疝修补术在提高治疗有效率、加快术后恢复、减轻疼痛及降低并发症发生率方面均优于传统开放式疝修补术.

Objective:To evaluate the value and effect of laparoscopic minimally invasive techniques in the treatment of elderly patients with inguinal hernia.Method:According to the random number table method,80 elderly patients with inguinal hernia admitted to the Second People's Hospital of Wuzhong District,Suzhou City from February 2022 to May 2024 during were selected as the study objects and divided into two groups,with 40 cases in each group.The control group was only treated with traditional open hernia repair,while the experimental group underwent laparoscopic minimally invasive inguinal hernia repair.The effective rate of treatment,postoperative recovery conditions(first exhaust,time to get out of bed,length of hospital stay,hospitalization cost),pain score and incidence of complications were compared between the two groups.Result:The therapeutic effect data in the experimental group were higher than those in the control group(P<0.05).The recovery time(first exhaust,first getting out of bed,hospitalization)of the experimental group was significantly shorter than that of the control group,and the cost of the observation group was lower than that of the control group.The incidence of complications(incision infection,hematoma formation,chronic pain)in the experimental group(P<0.05)was significantly lower than that in the control group(P<0.05).From 1 to 3 days after the intervention,the pain score of the experimental group decreased significantly,and the difference was statistically significant(P<0.05).Conclusion:Laparoscopic minimally invasive inguinal hernia repair is superior to traditional open hernia repair in terms of improving the treatment efficiency,accelerating postoperative recovery,reducing pain and lowering the incidence of complications.

赵春宏;陆进华;姜斌

苏州市吴中区第二人民医院 江苏 苏州 215000苏州市吴中区第二人民医院 江苏 苏州 215000苏州市吴中区第二人民医院 江苏 苏州 215000

腹腔镜微创技术高龄腹股沟疝疗效并发症疼痛评分

Laparoscopic minimally invasive techniqueHigh age inguinal herniaEfficacyComplicationsPain score

《中外医学研究》 2026 (8)

61-64,4

10.14033/j.cnki.cfmr.2026.08.015

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