摘要
目的分析使用腹腔镜腹股沟疝修补术对老年腹股沟疝患者的临床治疗效果。方法便利选取2021年1月—2023年2月邹城市第二人民医院收治的80例老年腹股沟疝患者为研究对象,依据手术方式的不同,将40例患者采用常规开放无张力疝修补术设为对照组,40例患者采用腹腔镜腹股沟疝修补术设为观察组。对两组患者的临床疗效、手术相关指标、免疫指标及并发症发生情况进行观察和对比。结果两组临床总有效率比较,差异有统计学意义(P<0.05)。观察组手术时间(65.48±7.92)min长于对照组(48.65±5.24)min,切口长度(1.22±0.25)cm、术中出血量(21.57±3.06)mL、首次进食时间(8.11±2.10)h、首次下床活动时间(4.49±1.03)h、住院时间(6.20±1.27)d、疼痛缓解时间(1.76±0.43)d均优于对照组的(4.06±1.33)cm、(40.08±5.44)mL、(15.93±4.65)h、(8.16±2.11)h、(9.19±2.08)d、(3.20±0.93)d,差异均有统计学意义(t=11.208,13.272,18.756,9.693,9.885,7.759,8.888;P均<0.05)。且两组免疫指标水平比较,观察组免疫球蛋白G(10.44±1.55)、免疫球蛋白M(1.36±0.45)、前清蛋白(0.42±0.13)优于对照组的(8.86±1.37)、(1.04±0.23)、(0.24±0.05),差异均有统计学意义(t=4.830,4.004,8.173;P均<0.05)。两组并发症发生率比较,差异有统计学意义(P<0.05)。结论应用腹腔镜腹股沟疝修补术有助于提高治疗效果,改善手术相关指标及免疫指标水平,降低并发症发生率。
Objective To analyze the clinical effect of laparoscopic inguinal hernia repair in elderly patients with inguinal hernia.Methods A total of eighty elderly patients with inguinal hernia admitted to The Second People's Hospital of Zoucheng City from January 2021 to February 2023 were conveniently selected as the research objects According to the different surgical methods,forty patients were treated with conventional open tension-free hernia repair as the control group,and forty patients were treated with laparoscopic inguinal hernia repair as the observation group.The clinical efficacy,operation related indexes,immune indexes and complications of the two groups were observed and compared.Results The operation time of the observation group was(65.48±7.92)min,which was longer than(48.65±5.24)min of the control group,the incision length(1.22±0.25)cm,intraoperative blood loss(21.57±3.06)mL,first feeding time(8.11±2.10)h,first ambulation time(4.49±1.03)h,hospitalization time(6.20±1.27)d,and pain relief time(1.76±0.43)d were better than(4.06±1.33)cm,(40.08±5.44)mL,(15.93±4.65)h,(8.16±2.11)h,(9.19±2.08)d,(3.20±0.93)d of the control group,and the differences were statistically significant(t=11.208,13.272,18.756,9.693,9.885,7.759,8.888;all P<0.05).The levels of immunoglobulin G,immunoglobulin M,and prealbumin were 10.44±1.55,1.36±0.45,0.42±0.13 in the observation group,which were better than 8.86±1.37,1.04±0.23 and 0.24±0.05 in the control group,the differences were statistically significant(t=4.830,4.004,8.173;all P<0.05).Comparison of complication rate between two groups,the difference was statistically significant(P<0.05).Conclusion The application of laparoscopic inguinal hernia repair is helpful to improve the therapeutic effect,improve the level of surgical related indicators and immune indicators,and reduce the incidence of complications.
作者
李树年
LI Shunian(The Second People's Hospital of Zoucheng City,Jining 273508,Shandong,China)
出处
《系统医学》
2025年第14期45-48,共4页
Systems Medicine
关键词
腹腔镜腹股沟疝修补术
开放无张力疝修补术
老年
临床效果
免疫指标
并发症
Laparoscopic inguinal hernia repair
Open tension-free hernia repair
Old age
Clinical effect
Immune indicators
Complications
