对比杂交技术与单纯腹腔镜技术在难复性腹股沟疝修补术中的应用价值。

将2015年1月至2017年12月廊坊市第四人民医院收治的单侧难复性腹股沟疝患者共60例纳入本研究，采用随机法分为2组。其中试验组患者30例，采用杂交技术；对照组患者30例，采用腹腔镜技术。对比2组患者手术时间、气腹持续时间、术中出血量、住院时间、住院费用、术后并发症等指标。

对照组1例患者因腹腔镜下难以分离还纳，后转为开放手术，淘汰出组，其余患者均顺利完成手术。试验组单侧难复性腹股沟疝患者住院时间、住院费用、术后发热情况、异物感发生情况分别为（5.00±0.85）d、（10 901.8±830.22）元、5例（16.7%）、2例（6.7%），与对照组（5.00±0.82）d、（11 116.45±813.73）元、6例（20.7%）、2例（6.9%）比较，差异无统计学意义（P均>0.05）。试验组单侧难复性腹股沟疝患者手术时间、气腹持续时间、术中出血量、血清肿发生情况分别为（57.00±5.81）min、（36.30±4.90）min、（21.00±3.80）ml、1例（3.3%），与对照组（72.90±3.66）min、（65±4.43）min、（56.7±8.69）ml、7例（24.1%）比较，差异均有统计学意义（t=－6.544、－6.698、－6.678、χ²=5.450，P均<0.05）。

相对于腹腔镜技术，杂交技术治疗难复性腹股沟疝可减少手术时间、气腹持续时间和术中出血量，降低术后血清肿的发生，不会增加术后疝复发等并发症的风险和住院费用，具有较高的临床应用价值。

To compare the application value between Hybrid technique and laparoscopic technique in irreducible inguinal hernia repair.

A total of 60 patients performed unilateral irreducible inguinal hernia repair in Langfang Fourth People's Hospital from January 2015 to December 2017 were included into this study. All patients were divided into two groups randomly, including Hybrid technique group (observation group, n=30) and laparoscopic technique group (control group, n=30). The operation time, pneumoperitoneum duration, blood loss, hospital stay, hospital cost, and postoperative complications were analyzed.

In the control group, 1 patient was rejected out of the group because it was difficult to separate and reduce under laparoscopy. The rest of operations were performed successfully. No statistical difference was observed in hospital stay [(5.00±0.85) days vs (5.00±0.82) days], hospital cost [(10 901.8±830.22) yuan vs (11 116.45±813.73) yuan], postoperative fever (16.7% vs 20.7%), pain (26.7% vs 6.9%) between two groups (P>0.05). Operation time, pneumoperitoneum duration, intraoperative bleeding and incidence of seroma in the observation group were (57.00±5.81) minutes, (36.30±4.90) minutes, (21.00±3.80) ml, 1 case (3.3%), respectively, were significantly lower than those in the control group, (72.90±3.66) minutes, (65±4.43) minutes, (56.7±8.69) ml, and 7 cases (24.1%), (P<0.05). No recurrence, infection or chronic pain was observed at 1 year follow-up.

Compared with laparoscopy, Hybrid technique to treat irreducible inguinal hernia may decrease operation time, pneumoperitoneum duration, intraoperative bleeding and the incidence of seroma, and do not increase the risk of postoperative hernia recurrence and other complications and hospital cost. It is worthy to be used for clinical practice.