Study on the application effect of open tension-free hernia repair and laparoscopic surgery in adult inguinal hernia
开放式无张力疝修补术和腹腔镜手术在成人腹股沟疝中的应用效果研究

摘要

目的 分析开放式无张力疝修补术和腹腔镜手术在成人腹股沟疝中的应用效果。方法 选取2023年1月-2025年12月我院收治的80例成人腹股沟疝患者，按照不同治疗方式分为两组，对比对照组（40例）行开放式无张力疝修补术与观察组（40例）行腹腔镜手术的手术相关指标以及治疗前后炎症因子水平。结果 观察组手术相关指标、治疗后炎症因子水平[肿瘤坏死因子-α（TNF-α）、C反应蛋白（CRP）、白细胞介素-6（IL-6）]均低于对照组（P<0.05）。结论 与开放式无张力疝修补术相比，成人腹股沟疝在临床治疗中选择腹腔镜手术方案，可以减轻机体创伤，更好地控制炎症反应，有助于促进患者术后更快的恢复，取得更好的预后效果。

Abstract

Objective To analyze the application effects of open tension-free hernia repair and laparoscopic surgery in adult inguinal hernia.
Methods Eighty adult patients with inguinal hernia admitted to our hospital from January 2023 to December 2025 were selected and divided into two groups according to different treatment methods. The surgical related indicators and inflammatory factor levels before and after treatment were compared between the control group (40 cases) who underwent open tension-free hernia repair surgery and the observation group (40 cases) who underwent laparoscopic surgery.
Results The surgical related indicators and levels of inflammatory factors [Tumour necrosis factor-α (TNF-α), C-reactive protein (CRP), Interleukin-6 (IL-6)] after treatment in the observation group were lower than those in the control group (P<0.05).
Conclusion   Compared with open tension-free hernia repair, choosing laparoscopic surgery in the clinical treatment of adult inguinal hernia can reduce body trauma, better control inflammatory response, promote faster postoperative recovery of patients, and achieve better prognosis.