腹腔镜腹股沟疝修补术80例  

80 cases of laparoscopic inguinal hernia repair

作　　者：夏云[1] 王震[1] 

机构地区：[1]云南省西双版纳州人民医院普外科,666100

出　　处：《中华疝和腹壁外科杂志（电子版）》2015年第3期61-63,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的总结腹腔镜腹股沟疝修补术的临床效果与价值。方法采集2011年1月至2014年10月,云南省西双版纳州医院收治的腹股沟疝患者80例,随机分为经腹腹膜前疝修补术（TAPP）组和完全腹膜外疝修补术（TEP）组,每组患者40例。对二组患者的手术时间、住院时间、并发症等临床资料进行回顾性分析。结果本组80例患者手术顺利,无中转开放手术。TAPP组平均手术时间（45.0±5.0）min,TEP组平均手术时间（45.0±3.0）min,二组比较差异无统计学意义（t=11.14,P=0.153）。TAPP组平均住院时间（3±1）d,TEP组平均住院时间（3±1）d,二组比较差异无统计学意义（t=15.25,P=0.128）。TAPP组患者发生阴囊血肿2例,TEP组发生阴囊血肿2例,差异无统计学意义（χ2=6.85,P=0.087）。TAPP组尿潴留5例,TEP组尿潴留2例,二组比较差异有统计学意义（χ2=13.10,P=0.000）。TAPP组腹股沟区疼痛2例,2周后自行消失;TEP组无疼痛患者,二组比较差异有统计学意义（χ2=8.15,P=0.000）。随访3～18个月,平均（6±2）个月,无复发。结论腹腔镜腹股沟疝修补术手术时间短,住院时间短,并发症少,复发率低,患者疼痛轻。且在手术过程中能同时发现隐匿性疝,避免患者2次手术,适用于腹股沟疝的治疗。Objective To summarize the clinical effect and value of laparoscopic inguinal hernia repair. Methods From January 2011 to October 2011,80 cases of inguinal hernia patients who were admitted to People ＇s Hospital of Xishuangbanna were performed with laparoscopic inguinal hernia repair,including 40 cases of transabdominal preperitoneal（ TAPP） and 40 cases of totally extraperitoneal（ TEP）.The clinical data,such as operation time,length of hospital stay and complications,were retrospectively analyzed. Results All operations were successful without any conversion. Operation time was（ 45. 0 ±5. 0） minutes for TAPP group and 45. 0 ± 3. 0 min for TEP group. The difference was not statistically（ t =11. 14,P = 0. 153）. There were also no differences in length of hospital stay（ t = 15. 25,P = 0. 128） and scrotal hematoma（ χ2= 6. 85,P = 0. 087）. While,two and five cases of urinary retention occurred in TAPP and TEP group with significant difference（ χ2= 13. 10,P = 0. 000）,respectively. TAPP group had 2 cases of groin pain（ none in TEP group,χ2= 8. 15,P = 0. 000）,which were reliefed in 2 weeks. With following up for 3 to 18 months,there was no recurrence. Conclusion Laparoscopic inguinal hernia repair surgery has short operation time,less hospital stay,fewer complications and lower recurrence and pain,and can also find occult hernias in the procedure at the same time,to avoid the secondary surgery. It is suitable for the treatment of inguinal hernia.

关 键 词：疝 腹股沟 疝修补术 外科手术 微创性 

分 类 号：R656.21[医药卫生—外科学]