腹腔镜经腹腹膜前修补术及全腹膜外疝修补术治疗复发性腹股沟疝比较  

Comparison of Laparoscopic Transabdominal Preperitoneal Prothetic Repair and Total Extraperitoneal Hernia Repair for Recurrent Inguinal Hernia

作　　者：李继勇[1] 罗琦[2] 王满贞[1] LI Ji-yong LUO Qi WANG Man-zhen(Department of General Surgery, Huangpi District People＇s Hospital, Wuhan 430300, Hubei, China Department of Western Medicine, Huangpi District People＇s Hospital, Wuhan 430300, Hubei, China)

机构地区：[1]湖北省武汉市黄陂区人民医院普外科,武汉430300 [2]湖北省武汉市黄陂区人民医院西药剂科,武汉430300

出　　处：《中国现代手术学杂志》2017年第1期18-21,共4页Chinese Journal of Modern Operative Surgery

摘　　要：目的探讨腹腔镜经腹腹膜前修补术及全腹膜外疝修补术治疗复发性腹股沟疝中的临床效果。方法选择我院2013年1月~2015年6月收治的复发性腹股沟疝患者80例作为研究对象,根据手术方式分为两组,观察组44例行腹腔镜经腹腹膜前修补术治疗,对照组36例行腹腔镜全腹膜外疝修补术治疗。比较两组患者围术期结果、术后疼痛程度及并发症发生率。结果两组患者手术时间、术后下床活动时间、住院时间及术后VAS评分比较,差异均无统计学意义(P>0.05);观察组手术费用显著高于对照组(P<0.05)。观察组术后并发症发生率为13.64%(6/44),对照组为11.11%,组间比较差异无统计学意义(P>0.05)。所有患者术后随访12个月,均无再次复发。结论腹腔镜经腹腹膜前修补术及全腹膜外疝修补术均是治疗复发性腹股沟疝的有效术式,可根据患者前次手术方式及具体情况制定个性化手术方案。Objective To discuss the clinical effect of laparoscopic transabdominal preperitoneal prothetic hernia repair and total extraperitonoal hernia repair in the treatment of recurrent inguinal hernia. Methods From January 2013 to June 2015, a total of 80 patients with recurrent inguinal hernia were enrolled in the re- search. All patients were divided into two groups according to different surgical procedures： The observation group （n = 44） were performed laparoscopie transabdominal preperitoneal prethetic hernia repair, and the control group （n = 36） were treated by laparoscopie total extraperitoneal hernia repair. The peri-operative results, VAS score of post-operative pain and complication incidence were compared between two groups. Results There were no statistical difference in the operation time, postoperative out-off-bed activity time, hospitalization time and postop- erative VAS score between two groups （P 〉 0.05）. The operation cost of the observation group was siguificantly higher than that of the control group, the difference was statistical （P 〈 0.05 ）. The post-operative complication rate was 13.64% in the observation group and 11.11% in the control group, there was no statistical difference between two groups（P 〉0.05）. All patients were followed up for 12 months, and no one was found relapse in both groups. Conclusion Both laparoscopic transabdominal preperitoneal hernia repair and total extraperitoneal hemiorrhaphy can achieve effect safe and result for recurrent inguinal hernia, and the individuation surgical procedure would be formulated according to the previous surgical procedure of herniorrhaphy.

关 键 词：疝 腹股沟 复发疝 经腹腹膜前疝修补术 全腹膜外疝修补术 腹腔镜检查 

分 类 号：R656.21[医药卫生—外科学]