开放式完全腹膜外疝修补对术后慢性疼痛的影响  

The influence of chronic pain after open totally extraperitoneal herniorrhaphy

作　　者：李为明[1] 岑云云[1] 许青文[1] 陈雄志[1] 孙大力[1] 戚宇星[1] 李树民[1] 李奕俊[1] 徐鹏远[1] 

机构地区：[1]昆明医科大学第二附属医院干疗外科,650101

出　　处：《中华疝和腹壁外科杂志（电子版）》2015年第2期41-42,共2页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨开放式完全腹膜外疝修补术（TEP）对术后慢性疼痛的影响。方法采用随机双盲对照法,对2013年1~12月昆明医科大学第二附属医院120例腹股沟疝患者,分别采用传统前入路腹膜前间隙术式（55例）和开放TEP术式（65例）进行疝修补治疗,并统计二组患者术后发生慢性疼痛例数。结果传统前入路腹膜前间隙组术后慢性疼痛发生率为10.9%（6/55）,TEP组术后慢性疼痛发生率为1.5%（1/65）,二组比较差异有统计学意义（χ2=4.76,P=0.029）。结论开放式TEP可避免术中对腹股沟区神经损伤,减少术后慢性疼痛发生率。Objective To explore the influence of chronic pain after open totally extraperitoneal hemiorrhaphy （TEP）. Methods By the randomized double blind method, 120 cases of inguinal hernia in Second Affiliated Hospital of Kunming Medical University were treated with either open totally extraperitoneal herniorrhaphy （n = 65） or traditional anterior approach （n = 55 ）. Demographic data were recorded, and chronic postoperative pain were evaluated with the visual analog scale. Results The incidence of chronic pain was 1.5% （1/65） in open TEP group and 10.9% （6/55） in the traditional anterior approach group. There was a significant difference between the two groups （χ2 = 4.76, P = 0.029）. Conclusion Open TEP can avoid the inguinal region nerve injury and significantly reduce the incidence of chronic pain.

关 键 词：疼痛 手术后 疝修补术 疝 腹股沟 

分 类 号：R656.2[医药卫生—外科学]