探讨α-氰基丙烯酸异丁酯医用胶的防水特性对腹腔镜腹股沟疝无张力修补术后切口管理及患者早期生活质量的影响。

选取2025年12月至2026年3月于中山大学附属第七医院治疗的40例行择期腹腔镜腹股沟疝无张力修补术的成年患者作为研究对象。分为观察组（20例，采用α-氰基丙烯酸异丁酯医用胶闭合切口）与对照组（20例，采用传统间断缝线闭合切口）。观察组自术后第3天起允许淋浴，对照组于术后第7天拆线、第8天起允许淋浴。比较2组患者对术后切口的愈合情况、并发症发生率及术后1个月健康状况调查问卷（SF-36）各维度评分及切口护理满意度。

2组患者术后切口均获甲级愈合，均未发生深部感染、积液或切口裂开；2组切口并发症总发生率比较，差异无统计学意义（P>0.05）。术后1个月，观察组在SF-36问卷的生理机能、生理职能、躯体疼痛及社会功能等维度的评分均显著高于对照组，差异均有统计学意义[（85.5±3.9）分比（81.5±3.9）分，（87.5±4.0）分比（84.6±4.0）分，（85.4±3.0）分比（83.2±3.0）分，（85.4±3.0）分比（83.2±3.0）分；P<0.05]。

α-氰基丙烯酸异丁酯医用胶闭合腹腔镜腹股沟疝无张力修补术手术切口可形成可靠的防水屏障，术后早期淋浴安全可行，不增加切口并发症发生率，能显著简化护理流程并提高患者术后早期的生活质量，符合快速康复外科理念。

To investigate the impact of the waterproof properties of α-cyanoacrylate isobutyl ester medical adhesive on postoperative incision management and early quality of life in patients undergoing laparoscopic tension-free inguinal hernia repair.

The study included 40 adult patients who underwent elective laparoscopic tension-free inguinal hernia repair at the Seventh Affiliated Hospital of Sun Yat-sen University between December 2025 and March 2026. The patients were divided into an observation group (n=20, with incisions closed using α-cyanoacrylate isobutyl ester medical adhesive) and a control group (n=20, with incisions closed using traditional interrupted sutures). Patients in the observation group were permitted to shower starting on the third postoperative day, while those in the control group had their sutures removed on the seventh postoperative day and were permitted to shower starting on the eighth day. Postoperative incision healing, complication rates, scores on each dimension of the 1-month postoperative SF-36 health status questionnaire, and satisfaction with incision care were compared between the two groups.

Postoperative incisions in both groups achieved Grade A healing, with no cases of deep infection, seroma, or incision dehiscence; there was no statistically significant difference in the overall incidence of incision complications between the two groups (P>0.05). One month postoperatively, the observation group had higher scores on the SF-36 questionnaire in the physical health, physical function, physical pain, and social function than those of the control group, with statistically significant differences [(85.5±3.9) points vs (81.5±3.9) points, (87.5±4.0) points vs (84.6±4.0) points, (85.4±3.0) points vs (83.2±3.0) points, (85.4±3.0) points vs (83.2±3.0) points; all P<0.05].

The use of α-cyanoacrylate isobutyl ester medical adhesive in laparoscopic tension-free inguinal hernia repair creates a reliable waterproof barrier at the surgical incision site. This allows for safe and feasible showering in the early postoperative period without increasing the incidence of incision complications. It significantly simplifies nursing procedures and improves patients' quality of life in the early postoperative period, aligning with the principles of enhanced recovery after surgery.