腹腔镜下腹股沟疝修补术对手术效果及T淋巴细胞百分比的影响

Impact of laparoscopic inguinal hernia repair on surgical effect and T lymphocyte percentage

摘要:

摘要：目的??探讨腹腔镜下腹股沟疝修补术对手术效果及T淋巴细胞百分比的影响。方法 选取2017年1月－2019年1月腹股沟疝患者280例作为研究对象，随机分为对照组（n?=?140）和观察组（n?=?140）。对照组采用开放无张力疝修补术，观察组采用腹腔镜下无张力疝修补术，术后7?d对患者治疗效果进行评估，比较两组手术指标、疼痛视觉模拟评分（VAS）、T淋巴细胞百分比及术后并发症。结果 观察组与对照组手术时间比较，差异无统计学意义（P?>?0.05）；观察组出血量、术后自主活动时间及VAS评分少于对照组（P??0.05）。结论 将腹腔镜手术用于腹股沟疝患者中，手术创伤较小，能改善患者T淋巴细胞百分比，未增加术后并发症发生率，值得推广应用。

Abstract:

Abstract: Objective?To investigate the impact of laparoscopic inguinal hernia repair on the surgical effect and T lymphocyte percentage.?Methods?From January 2017 to January 2019, 280 patients with inguinal hernia were selected as subjects and randomly divided into control group (n?=?140) and observation group (n?=?140). The control group used open tension-free hernia repair, and the observation group used laparoscopic tension-free hernia repair. The patient’s effect was evaluated 7 days after surgery. The surgical indicators, visual pain simulation score (VAS), percentage of T lymphocytes, and postoperative complications.?Results?There was no significant difference in the operation time between the two groups (P?>?0.05). The amount of bleeding, postoperative autonomic activity time and VAS score in the observation group were less (lower) than those in the control group (P??0.05).?Conclusion?Laparoscopic surgery is less invasive in patients with inguinal hernia, which can improve the percentage of T lymphocytes in patients and does not increase the incidence of postoperative complications. It is worth of popularizing and applying.