腹腔镜探查修补腹股沟嵌顿疝的临床观察  

Clinical Observation of Laparoscopic Exploration and Repair of Inguinal Hernia

作　　者：董圣杰 

机构地区：[1]沧州市人民医院肝胆胰外科,河北沧州061000

出　　处：《中外医疗》2016年第16期182-183,共2页China & Foreign Medical Treatment

摘　　要：目的探讨运用腹腔镜探查修补术治疗腹股沟嵌顿疝的临床效果。方法整群选取并回顾性分析2012年5月—2015年12月在该院治疗的122例嵌顿性腹股沟疝患者的临床资料。结果 122例患者中有120例成功实施行腹腔镜经腹腹膜前疝修补术（transabdominal preperitoneal TAPP）,2例术中发现肠管坏死而中转传统开腹手术。TAPP手术时间38-120（56±17.2）min;住院天数2-7（3.4±0.9）d。术后随访3-42个月。1例患者术后出现排尿困难,1例患者术后VAS评分大于3分。随访期间无补片感染、肠瘘、肠梗阻及复发等严重并发症的发生。结论 TAPP是治疗嵌顿性腹股沟疝的安全、有效的手术方式,具有创伤小、并发症少等优势。Objective To explore the clinical effects of incarcerated inguinal hernia using laparoscopic exploration. Methods Group selection clinical data of 122 patients with incarcerated inguinal hernia from May 2012 to December 2015 were retrospectively analyzed. Results 120 patients accepted TAPP successfully and 2 patients were converted to open surgery because of intestinal necrosis. The mean operation time was（56±17.2）min（range,38-120min）,postoperative stay was（3.4±0.9）d（range 2-7d）, patients were followed for 4-30 months. 1 patient occurred with urinary retention, 1 patient＇s VAS score was more 3. There were no complications such as mesh infection, intestinal fistula and obstruction during the follow-up.Conclusion TAPP is a safe and effective operation for incarcerated inguinal hernia treatment, with the advantages of minimal invasion snd few complications.

关 键 词：腹腔镜 临床 治疗 手术 

分 类 号：R256.4[医药卫生—中医内科学]