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目的:探析传统手术与腹腔镜疝囊高位结扎术的创伤反应对比。方法:入选广州市番禺区中心医院普通外科腹股沟斜疝患者80例,病人随机分为观察组(腹腔镜疝囊高位结扎术)、对照组(传统小切口疝囊高结扎术),每组40例,检测两组患者术前、术后24 h、72 h的CRP、IL-6、TNF-α指标。结果:两组术前IL-6、TNF-α、CRP各项指标比较,差异无统计学意义(P>0.05);观察组术后24 h、72 h的IL-6、TNF-α、CRP指标显著低于对照组,差异具有统计学意义(P<0.05)。结论:腹腔镜疝囊高位结扎术可显著降低患者的手术创伤反应,降低患者的手术风险,术后康复迅速。
Objective: To compare the traumatic response of traditional surgery and laparoscopic high ligation of hernia sac. Methods: Eighty patients with inguinal hernia were selected from the general surgery department of Panyu Central Hospital of Guangzhou. The patients were randomly divided into observation group (high laparoscopic hernia sac ligation) and control group (traditional small incision hernia sac ligation) Cases, two groups of patients before and 24 h, 72 h after CRP, IL-6, TNF-α index. Results: There was no significant difference in the indexes of IL-6, TNF-α and CRP between the two groups before operation (P> 0.05). The levels of IL-6, TNF- The index was significantly lower than the control group, the difference was statistically significant (P <0.05). Conclusion: High ligation of laparoscopic hernia sac can significantly reduce the surgical trauma response in patients, reduce the surgical risk and postoperative recovery quickly.