腹腔镜疝修补术与无张力疝修补术治疗腹股沟疝对患者术后疼痛程度及复发率的影响

doi:10.3969/j.issn.1671-7171.2025.11.021

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摘要 【目的】探讨腹腔镜疝修补术与无张力疝修补术治疗腹股沟疝对患者术后疼痛程度及复发率的影响。【方法】选择2023年1月至2024年1月本院收治的60例腹股沟疝患者,根据患者手术方法的不同将患者分为腹腔镜组(行腹腔镜疝修补术治疗)和无张力组(行无张力疝修补术治疗)。比较两组手术时间、出血量、下床时间和住院时间,比较两组术后不同时间疼痛程度[视觉模拟评分法(VAS)评分]、炎症因子[C反应蛋白(CRP)、白细胞介素-6(IL-6)],以及手术并发症发生率、随访复发率。【结果】腹腔镜组手术时间、下床时间、住院时间明显短于无张力组,出血量明显低于无张力组,差异有统计学意义(P<0.05)。术后2 h至术后1周,两组VAS评分均呈递减趋势(P<0.05),腹腔镜组术后6 h、24 h的VAS评分明显低于无张力组(P<0.05)。术后24 h,两组血清CRP、IL-6水平均高于术前24 h,且腹腔镜组明显低于无张力组,差异有统计学意义(P<0.05)。腹腔镜组术后并发症发生率为10.00%(3/30),明显低于无张力组的33.33%(10/30),差异有统计学意义(χ²=4.812,P=0.028)。腹腔镜组随访期间无复发情况,无张力组随访期间复发率为6.67%(2/30)。两组随访期间复发率比较,差异无统计学意义(χ²=0.517,P=0.472)。【结论】相较于无张力疝修补术,腹腔镜疝修补术治疗腹股沟疝临床效果更好,可加快患者康复进程,有效减轻疼痛程度和炎症反应,减少手术相关并发症,患者术后复发率较低。

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	程巩
	冯亚光
	曹岩

关键词 ：疝,腹股沟, 腹腔镜检查, 疝修补术, 疼痛, 复发

Abstract：【Objective】To explore the effects of laparoscopic hernia repair and tension-free hernia repair on postoperative pain and recurrence rate in patients with inguinal hernia. 【Methods】Sixty patients with inguinal hernia admitted to our hospital from January 2023 to January 2024 were selected and divided into the laparoscopic group (treated with laparoscopic hernia repair) and the tension-free group (treated with tension-free hernia repair) according to different surgical methods. The surgical time, bleeding volume, time to get out of bed, and length of hospital stay, the postoperative pain levels [Visual Analog Scale (VAS) score], and inflammatory factors [C-reactive protein (CRP), interleukin-6 (IL-6)], as well as the incidence of surgical complications and follow-up recurrence rates were compared between the two groups. 【Results】The laparoscopic group had significantly shorter surgical time, bed time, and hospital stay than the tension-free group, and the amount of bleeding was significantly lower than that of the tension-free group, with statistical significance (P<0.05). From 2 hours to 1 week after surgery, both groups showed a decreasing trend in VAS scores (P<0.05). The VAS scores of the laparoscopic group were significantly lower than those of the tension-free group at 6 and 24 hours after surgery (P<0.05). At 24 hours after surgery, the average levels of serum CRP and IL-6 in both groups were higher than those before surgery, however, serum CRP and IL-6 levels of the laparoscopic group were significantly lower than those of the tension-free group, with statistical significance (P<0.05). The incidence of postoperative complications in the laparoscopic group was 10.00% (3/30), which was significantly lower than that in the tension-free group [33.33% (10/30)], and the difference was statistically significant (χ²=4.812, P=0.028). There was no recurrence during the follow-up period in the laparoscopic group, while the recurrence rate during the follow-up period in the tension-free group was 6.67% (2/30). There was no statistically significant difference in recurrence rate between the two groups during follow-up (χ²=0.517, P=0.472). 【Conclusion】Compared to tension-free hernia repair, laparoscopic hernia repair has better clinical efficacy in treating inguinal hernia, which accelerates patient recovery process, effectively reduces pain and inflammatory reactions, decreases surgical related complications, and has a lower postoperative recurrence rate.

Key words： Hernia, Inguinal Laparoscopy Herniorrhaphy Pain Recurrence

收稿日期: 2025-06-27

中图分类号:

R656.21

引用本文:

程巩, 冯亚光, 曹岩. 腹腔镜疝修补术与无张力疝修补术治疗腹股沟疝对患者术后疼痛程度及复发率的影响[J]. 医学临床研究, 2025, 42(11): 1917-1920.
CHENG Gong, FENG Yaguang, CAO Yan. Effects of Laparoscopic Hernia Repair and Tension-Free Hernia Repair on Postoperative Pain and Recurrence in Patients with Inguinal Hernia. JOURNAL OF CLINICAL RESEARCH, 2025, 42(11): 1917-1920.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.11.021 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I11/1917

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