自制气囊分离器在经腹腔镜完全腹膜外腹股沟疝修补术中的临床应用  

The clinical application of a homemade dissection balloon apparatus in total extraperitoneal repair

作　　者：戢运俊 陈敏辉 周云 梅亮 

机构地区：[1]广东省中山市阜沙医院微创中心,广东中山528434

出　　处：《中国内镜杂志》2015年第2期176-180,共5页China Journal of Endoscopy

基　　金：广东省中山市卫生局科研项目(No:J2012234)

摘　　要：目的探讨自制气囊分离器在经腹腔镜完全腹膜外腹股沟疝修补术(TEP)中的安全性和有效性。方法回顾性分析2011年1月-2013年10月该科163例TEP术式治疗腹股沟疝患者的临床资料,将腹膜前间隙建立的气囊扩张法与镜推法两种方式进行比较。结果观察组(气囊扩张法组)的手术时间、术中出血量明显少于对照组(镜推法组),两组术后并发症上比较差异有显著性。结论自制气囊分离器在TEP术式中应用安全有效,能明显缩短手术时间,对降低复发率等亦有帮助,值得推广。【Objective】The aim of this study was to evaluate the therapeutic effect and safety of homemade dissection balloon apparatus in the treatment inguinal hernia of total extraperitoneal repair（TEP） with immediate laparoscope pushing method or with homemade dissection balloon dilatation method. 【Methods】From January 2011 to October 2013,163 patients with inguinal hernia received TEP were analyzed retrospectively. Among them, there were 80 patients with homemade dissection balloon dilatation method（observation group）, 83 patients with immediate laparoscope pushing method（control group）. 【Results】There was a statistical difference of operation time（P〈0.001）, the amount of bleeding during operation（P〈0.001） and the number of postoperative complications（P〈0.01）between observation group and control group. 【Conclusion】 TEP with homemade dissection balloon dilatation method to treat inguinal hernia is a feasible, safe and effective surgical interventions, and has advantages of less the operation time, a small amount of bleeding during operation, and the number of postoperative complications, quicker recovery and low recurrence rate, and is worthy to be widely applied.

关 键 词：腹股沟疝 腹腔镜 经腹腔镜完全腹膜外腹股沟疝修补术 腹膜前间隙 气囊分离器 

分 类 号：R256.45[医药卫生—中医内科学]