腹腔镜经腹膜前腹股沟疝修补术在腹股沟嵌顿性斜疝中的应用  

Application of laparoscopic transabdominal preperitoneal inguinal hernia repair in inguinal incarcerated oblique hernia

作　　者：李东松 蔡焕武 苏树炎 江庆斌 Li Dongsong et al(Department of General Surgery, Chaozhou People＇s Hospital, Chaozhou 521011China)

机构地区：[1]广东省潮州市人民医院普外二科,521011

出　　处：《齐齐哈尔医学院学报》2017年第14期1682-1684,共3页Journal of Qiqihar Medical University

摘　　要：目的观察TAPP在腹股沟嵌顿性斜疝中的临床应用价值。方法将2015年6月至2016年9月在本院住院的成人腹股沟嵌顿性斜疝患者分成两组,观察组使用TAPP术式,对照组使用传统开放性手术。比较两组手术时间、总住院时间、术后血清肿/血肿发生率、慢性疼痛发生率及补片感染率。结果观察组手术时间为(57.80±10.20)分,对照组手术时间为(55.75±9.30)分,两组比较差异有统计学意义(P>0.05)。观察组总住院时间为(5±0.85)天,对照组总住院时间为(6±1.05)天,两组比较差异有统计学意义(P<0.05)。观察组补片感染0例,对照组补片感染5例,观察组慢性疼痛3例,对照组慢性疼痛9例,两组比较差异均有统计学意义(P<0.05),观察组血肿/血清肿4例,对照组血肿/血清肿7例,两组相比较无统计差异(P>0.05)。结论 TAPP应用于腹股沟嵌顿性斜疝的手术治疗中,能缩短住院时间,减少患者术后慢性疼痛、补片感染发生率,有利于患者的康复及生活质量。Objective To observe the clinical value of TAPP in inguinal indirect inguinal hernia. Methods 50 patients were divided into two groups, one using TAPP and another using traditional operation, and compared the operation time, time of hospitalization, and the rate of hematoma, chronic pain, and infection. Results The operation time were （ 57.80 ± 10.20） minutes of TAPP group and （ 55.75± 9.30） minutes of traditional operational group. The time of hospitalization were （5±0.85） days of TAPP group and （6±1.05） days of traditional operational group. 4 cases of hematoma, 0 case of infection, 3 cases of chronic pain were observed in TAPP group, and 7 cases of hematoma, 5case of infection, 9 eases of chronic pain were observed in traditional operational group. There were significance difference between two groups （P〈0. 05） for operation time, chronic pain, and infection. Conclusions Using TAPP in incarcerated inguinal hernia can help to reduce the rate of chronic pain and infection, saving the time of hospitalization. It can help to promote the recovery of operation, and the quality of life.

关 键 词：腹股沟疝 嵌顿疝 腹腔镜 经腹膜前腹股沟疝修补术 

分 类 号：R656.21[医药卫生—外科学]