经腹腹膜前疝修补术151例术后并发症分析  

Postoperative complications analysis of 151 cases of laparoscopic transabdominal preperitoneal inguinal hernia repair

作　　者：杨栋[1] 王伟[1] 王浩[1] Harun Nur Mmohamed 唐泽[1] 邱声愧 Zakarie Muse Ali 王权[1] 

机构地区：[1]吉林大学白求恩第一医院胃结直肠肛门外科,长春130021

出　　处：《中华疝和腹壁外科杂志（电子版）》2016年第2期128-130,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的研究经腹腹膜前疝修补术（TAPP）术后并发症分布情况,并探讨相关发生原因与改进措施。方法回顾性分析2012年8月至2015年7月,吉林大学白求恩第一医院151例腹腔镜TAPP患者,观察腹股沟疝患者的年龄、性别分布等基本资料以及对术后并发统计分析。结果腹股沟疝患者男女比率约9∶1,其中双侧疝12.4%,年龄20-85岁。并发症包括疼痛1例（0.7%）、复发1例（0.7%）、血肿2例（1.3%）、阴囊积液6例（4.0%）、膀胱损伤1例（0.7%）,共计11例。结论 TAPP术后并发症比率为7.3%,通过改进手术操作可预防或减少并发症的发生。Objective To study the complications of transabdominal preperitoneal prosthetic repair,and to explore the related causes and improvement measures. Methods A total of 151 cases of transabdominal preperitoneal prosthetic repair（ TAPP） in the First Bethune Hospital of Jilin University,from August 2012 to July 2015,were retrospectively studied,to observe age,sex distribution and other basic data and to analyze the postoperative complications. Results Male and female ratio was about 9∶ 1 in this series,in which 12. 4% were bilateral hernia. The age ranged from 20 to 85 years. The presence of complications（ 11 cases in total） included pain in 1 case（ 0. 7%）,recurrence in 1 case（ 0. 7%）,hematoma in 2 cases（ 1. 3%）,scrotal hydrocele in 6 cases（ 4. 0%）,bladder injury in 1 case（ 0. 7%）. Conclusion The incidence of postoperative complications following TAPP was 7. 3%,which can be prevented or reduced by improving the surgical procedure.

关 键 词：疝 腹股沟 腹腔镜 并发症 

分 类 号：R656.21[医药卫生—外科学]