腹腔镜经腹腹膜前补片植入术的临床应用  

The Clinical Application of Transabdominal Approach with Stapled Pre-peritonealmesh Repair

作　　者：吕培标 毛常青 李俊[1] 周志涛[1] 钟国英[1] 

机构地区：[1]广东省梅县人民医院,广东梅县514000

出　　处：《河北医学》2014年第7期1068-1070,共3页Hebei Medicine

基　　金：广东省梅州市科技计划项目;(编号:2012B29)

摘　　要：目的:探讨腹腔镜经腹腹膜前补片植入术(TAPP)治疗腹股沟疝的临床疗效和安全性。方法:选取2010年4月至2013年2月我院收治的86例腹股沟疝患者,随机平均分为两组,对照组和实验组,用传统的无张力疝修补术治疗对照组患者,用腹腔镜经腹腹膜前补片植入术治疗实验组患者,观察两组患者手术时间,术后1d疼痛评分,术后对患者随访3个月,记录两组患者术后住院时间、并发症发生率。结果:实验组手术时间、住院时间和术后1d疼痛评分均优于对照组,t值分别为12.19、9.17、13.60(P<0.05),差异有统计学意义;实验组发生并发症例数为3例,发生率6.98%,明显低于对照组发生并发症例数为9例,发生率20.93%,X2=4.49,P<0.05,差异有统计学意义。结论:腹腔镜经腹腹膜前补片植入术治疗腹股沟疝不仅具有创伤小、疼痛轻、恢复快、复发率低等优势,而且其最大限度地缩小和隐蔽手术疤痕,达到美容效果,在临床手术中有十分大的应用价值。Objective：To observe clinical efficacy and safety of the transabdominal approach with stapled pre-peritonealmesh repair .Method： 86 cases with inguinal hernia patients in our hospital from April＆amp;nbsp;2010 to February 2013 were randomly divided into two groups： control group and experimental group .The control group was treated with traditional hernia repair treatment , and the experimental group was treated with transabdominal approach with stapled pre-peritonealmesh repair , the two groups were observed operative time, postoperative pain scores one day after operation , patients were followed up for three months , recorded two groups of postoperative hospitalization time , complications rate .Result： The experimental group was much better than the control group on the operative time , length of hospital stay and postoperative one day after operation pain scores, The value of test was respectively was 12.19,9.17, 13.60（ P〈0.05）,the difference has statistically significant; complications occurred in the experimental group was 3 cases, the complication rate was 6.98%, It was significantly lower than the control group , the number of cases of com-plications occurred in 9 cases, the complication rate was 20.93%, X^2=4.49, P 〈0.05, the difference has statistically significant .Conlcusion： The application of transabdominal approach with stapped pre -peritonealmesh repair in inguinal hernia is not only less invasive , less pain ,faster recovery , lower relapse rate , as well as its maximum hidden scar reduction and achieve cosmetic results , it has large applications in clinical surgery.

关 键 词：腹腔镜 腹股沟疝 经腹腹膜前补片植入术 疝修补术 

分 类 号：R656.2[医药卫生—外科学]