腹腔镜经腹腹膜前疝修补术的临床价值分析  

Analysis of clinical value of laparoscopy in transabdominal preperitoneal prosthesis

作　　者：许国梁[1] 张国平[1] 汪东树[1] 张从雨[1] 

机构地区：[1]安徽省安庆市立医院,安徽安庆246000

出　　处：《中国医药科学》2015年第18期87-89,共3页China Medicine And Pharmacy

摘　　要：目的分析腹腔镜经腹腹膜前疝修补术的临床价值。方法选取2013年8月~2014年12月我院收治的33例腹股沟疝患者为本次研究的观察组对象,均给予腹腔镜经腹腹膜前疝修补术（TAPP）治疗;并选取同期收治的30例采用开放无张力疝修补术（Lichtenstein术）治疗的腹股沟疝患者为对照组对象。对比分析两种术式的临床治疗效果。结果两组手术时间、术后下床活动时间、住院时间以及住院费用等方面比较,差异有统计学意义（P〈0.05）;两组患者术中出血量比较,差异无统计学意义（P〉0.05）;观察组并发症发生率显著低于对照组,差异有统计学意义（P〈0.05）。两组患者1年复发率比较,差异无统计学意义（P〉0.05）。结论腹腔镜经腹腹膜前疝修补术在治疗腹股沟疝患者中具有重要的应用价值,是一种疗效确切、安全的治疗技术,可促进患者术后恢复,且并发症发生率低,但其手术费用较高,这是该技术在临床应用受限的一个主要因素。Objective To analyze the clinical value of laparoscopy in transabdominal preperitoneal prosthesis. Methods 33 patients with inguinal hernia who were admitted to our hospital from August 2013 to December 2014 were selected as observation group, which was treated with Transabdominal Preperitoneal Prosthesis（TAPP）. 30 patients who were treated with Lichtenstein method during the same period were selected as control group. The clinical curative effect of two surgical treatments was compared. Results The differences in surgical time, time of postoperative off-bed, length of stay and Hospitalization expense of two groups were statistically significant（P〈0.05）. The difference in intraoperative blood loss of two groups was not significant（P〉0.05）. Occurrence rate of complication of observation group was significantly lower than that of control group（P〈0.05）, which was statistically significant. The difference in one-year occurrence rate of two groups was not statistically significant（P〉0.05）. Conclusion Laparoscopy in transabdominal preperitoneal prosthesis is a safe treatment technology with significant curative effect and important application value, which can improve postoperative recovery significantly and lower occurrence rate of complication. However, the high surgery cost is a mainly factor that limit its clinical application.

关 键 词：腹腔镜 经腹腹膜前疝修补术 临床价值 

分 类 号：R656[医药卫生—外科学]