三种修补术对腹股沟疝的疗效及安全性比较  

Comparison of efficacy and safety of three kinds of inguinal hernia repair

作　　者：陈先达[1] 

机构地区：[1]福建医科大学附属宁德市医院普外科,352100

出　　处：《中华疝和腹壁外科杂志（电子版）》2015年第6期35-38,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的对内置补片完全腹膜化修补术、经腹腹膜前修补术及全腹膜外修补术三种术式应用于腹股沟疝治疗中的效果进行比较探讨。方法选择2012年2月至2014年12月在福建医科大学附属宁德市医院接受治疗的186例腹股沟疝患者作为研究对象,使用随机数字表将其分成A组、B组和C组,每组患者62例。A组患者应用内置补片完全腹膜化修补术予以治疗,B组患者应用经腹腹膜前修补术予以治疗,C组患者应用全腹膜外修补术予以治疗。分析、比较三组患者的临床治疗效果及其治疗后的外周血白细胞计数(WBC)、C反应蛋白(CRP)。结果经过相应的手术治疗之后,B、C组患者在手术时间、术中出血量以及疼痛持续时间方面与A组比较,差异有统计学意义(P<0.05),而在住院时间方面比较的差异无统计学意义(P>0.05);三组患者在并发症情况方面比较的差异有统计学意义(P<0.05),而在复发情况方面比较差异无统计学意义(P>0.05);三组患者在WBC、CRP水平方面比较的差异有统计学意义(P<0.05)。结论腹股沟疝患者应用内置补片完全腹膜化修补术治疗,都能够获得较TAPP以及TEP更好的临床效果,并且具有较低的并发症发生率,值得加以推广应用。Objective Analyze and discuss the effects of patients with inguinal hernia in treatment with TPIPOM,TAPP and TEP. Methods 186 patients with inguinal hernia were selected,who were treated in Ningde Hospital,Fujian Medical University,from February 2012 to December 2014,and were divided into 3 groups（ n = 62 in each group） using a random number table. The patients underwent TPIPOM in group A or received TAPP in group B,and the patients in group C were performed with TEP. Data was collected regarding clinical outcomes,white blood cell count（ WBC） and C-reactive protein（ CRP） level after the treatment. Results After the appropriate treatment,there were significant differences between the three groups in the terms of operation time,blood loss,and duration of pain（ P 0. 05）,but no significant difference was found in the terms of hospitalization time（ P 0. 05）. The difference of complications morbidity in the three groups was statistically significant（ P 0. 05）,but in the terms of recurrence rate,the difference was not significant（ P 0. 05）. The differences in CRP and WBC were statistically significant（ P 0. 05）. Conclusion The TPIPOM repair for inguinal hernia seems to have better clinical results than TAPP or TEP,and also has a low complication rate,which makes it worthwhile to spread.

关 键 词：疝 腹股沟 疝修补术 内置补片完全腹膜化修补术 经腹腹膜前疝修补术 完全腹膜外疝修补 

分 类 号：R656.21[医药卫生—外科学]