腹腔镜下经腹腹膜前修补治疗腹股沟疝的临床分析(64例)  

Clinical experience with laparoscopic transabdominal preperitoneal hernioplasty in treatment of inguinal hernia

作　　者：周军[1] 张宗涛[2] 郑建忠[2] 阿不都斯木.艾沙 陈高飞[2] 芦小龙[2] 

机构地区：[1]中山大学孙逸仙纪念医院胃肠外科,广州510120 [2]新疆医科大学第二附属医院普通外科,乌鲁木齐830028

出　　处：《岭南现代临床外科》2015年第5期590-592,共3页Lingnan Modern Clinics in Surgery

基　　金：广东省中医药管理局课题(20151175)

摘　　要：目的总结64例腹股沟疝患者行腹腔镜腹膜前疝修补术（TAPP）的体会,探讨其应用技巧及价值。方法 2010年4月至2015年4月对64例腹股沟疝患者实施TAPP术,对其相关临床资料进行回顾性分析。结果 本组病例手术时间85±10.6 min（68-108 min）,平均出血量35.25 mL,术后住院时间5.6±0.8 d（3-9 d）。术后3例发生阴囊明显水肿,1例血清肿,3例急性尿潴留,均治愈,并发症发生率10.94%。手术后切口无红肿、渗液,术后伤口仅有轻微疼痛,均未使用镇痛药。病例随访2-60个月,平均19个月。失访5例,随访率为92.19%,无复发。结论 TAPP术行腹股沟疝修补安全、可靠,住院时间短,并发症少,是治疗成人腹股沟疝、股疝,特别是复发、嵌顿疝合并肠梗阻的有效手段。Objective To summarize the 64 patients with inguinal hernia were performed the laparoscopic transabdominal preperitoneal（TAPP）approach,and explore its application skills and value.Methods To collect and analysis 64 patients performed transabdominal preperitoneal（TAPP）with inguinal hernia between April 2010 and April 2015.Results The operation were successfully completed,and the time of operation were 85 ±10.6 min（68-108 min）,average bleeding volume were 35.25 ml,hospital stay after operation were（5.6±0.8）d（3-9 d）.Three cases of scrotal edema,one case of seroma,three cases of acute urinary retention occurred after operation with 10.94% of complication rate,and all were cured.A mild pain occurred in post-operative patients,without incision swell,wound extravasating and none of patients received analgesics.Cases were followed up for 2-60 months with an average of 19 months and 92.19% of follow-up rate.Five cases failed to be followed up.No recurrence was found.Conclusion TAPP is a reliable efficient technique with shorter hospitalization and less complication to repair adult hernia or direct hernia or femoral hernia,especially to the hernia recurrence and incarcerated hernia with intestinal obstruction.

关 键 词：腹股沟疝 腹腔镜下经腹腹膜前疝修补术 治疗 

分 类 号：R656.2[医药卫生—外科学]