腹腔镜下完全腹膜外补片植入术对腹股沟疝的治疗效果探究  

Investigation of curative effect by laparoscopic totally extraperitoneal repair for inguinal hernia

作　　者：童山[1] 殷骏[1] 朱政[1] 吴润达[1] 

机构地区：[1]苏州大学第一附属医院普外科,215000

出　　处：《中国实用医药》2017年第21期13-15,共3页China Practical Medicine

摘　　要：目的本文研究腹腔镜下完全腹膜外补片植入术(TEP)对腹股沟疝的治疗效果。方法 50例腹股沟疝患者,随机分为对照组与观察组,各25例。对照组患者予以腹腔镜下经腹腹膜前修补术(TAPP)治疗,观察组患者予以腹腔镜下TEP治疗,对比两组患者的手术指标(手术时间、术中出血量)与并发症发生情况、疼痛视觉模拟评分(VAS)、随访信息。结果观察组患者手术时间为(44.32±10.21)min,明显短于对照组的(50.32±11.27)min(P<0.05);观察组患者术中出血量为(9.56±3.21)ml,明显少于对照组的(15.59±2.18)ml(P<0.05);观察组患者并发症发生率为4.00%,明显低于对照组的24.00%(P<0.05);观察组术后7、14、30 d的VAS评分分别为(2.65±0.55)、(0.95±0.74)、(0.82±0.65)分,均低于对照组的(4.37±0.68)、(2.55±0.83)、(1.49±0.76)分,差异具有统计学意义(P<0.05);术后7、14、30 d对患者进行定期了解病情变化和指导患者康复的随访,效果可观。结论对腹股沟疝患者行TEP能够缩短手术时间、减少术中出血量、降低并发症发生率,患者疼痛可耐受,值得临床推广。Objective To research curative effect by laparoscopic totally extraperitoneal repair （TEP） for inguinal hernia. Methods A total of 50 patients with inguinal hernia were randomly divided into control group and observation group, with 25 cases in each group. The control group received laparoscopic transabdominal preperitoneal prosthesis （TAPP） for treatment, and the observation group received laparoscopic TEP for treatment. Comparison was made on operation indexes （operation time, intraoperative bleeding volume）, occurrence of Complications, visual analogue scale （VAS） score and follow-up information between the two groups. Results The observation group had obviously shorter operation time as （44.32 ± 10.21） min than （50.32 ± 11.27） min （P〈0.05）. The observation group had obviously less intraoperative bleeding volume as （9.56 ± 3.21） ml than （15.59 ± 2.18） ml in the control group （P〈O.05）. The observation group had obviously lower incidence of complications as 4.00% than 24.00% in the control group （P〈O.05）. The observation group had VAS scores in postoperative 7, 14, 30 d respectively as （2.65 ± 0.55）, （0.95 ± 0.74） and （0.82 ± 0.65） points, which were all lower than （4.37 ± 0.68）, （2.55 ± 0.83） and （1.49 ± 0.76） points in the control group, and their difference had statistical significance （P〈0.05）. Follow-up in postoperative 7, 14, 30 d on disease changes and recovery guidance showed excellent effect in patients. Conclusion Implement of TEP for inguinal hernia patients can shorten operation time, reduce intraoperative bleeding volume, and lower incidence of complications. This method is tolerable for patients, and it is worth clinical promotion.

关 键 词：腹腔镜 完全腹膜外补片植入术 腹股沟疝 

分 类 号：R656.21[医药卫生—外科学]