腹股沟疝成年患者的腹腔镜手术效果研究  

Effect study of laparoscopic surgery on adult patients with inguinal hernia

作　　者：冉福林[1] 陈笑[1] 

机构地区：[1]桂林医学院附属医院胃肠外科,广西桂林541001

出　　处：《中国当代医药》2017年第34期28-30,共3页China Modern Medicine

摘　　要：目的探讨腹股沟疝成年患者接受腹腔镜手术治疗的效果。方法选取2012年1月~2017年1月于我院接受治疗的266例腹股沟疝成年患者作为研究对象,其中接受腹腔镜下经腹腹膜前修补术治疗的成年患者126例,为TAPP组;接受完全腹膜外修补术治疗的成年患者90例,为TEP组。比较两组患者的手术时间、术后住院时间、术后的VAS评分以及并发症发生率和复发率。结果 TEP组患者的手术时间[(45.5±9.8)min]明显短于TAPP组[(65.3±10.5)min],差异有统计学意义(P<0.05)。TEP组患者的住院时间与TAPP组比较,差异无统计学意义(P>0.05)。TEP组患者的入院时和术后24 h VAS评分与TAPP组比较,差异无统计学意义(P>0.05)。TEP组患者的感觉异常、血清肿、肠麻痹和尿潴留发生率分别为5.6%、8.9%、1.1%、8.9%,TAPP组患者的感觉异常、血清肿、肠麻痹和尿潴留发生率分别为8.7%、11.1%、2.4%、11.9%,两组比较差异有统计学意义(P<0.05)。TEP组患者的术后半年内复发率(8.89%)高于TAPP组患者(3.10%),差异有统计学意义(P<0.05)。结论腹腔镜手术对于腹股沟疝成年患者的治疗有明显效果,其中腹腔镜下经腹腹膜前修补术术后的并发症发生率和复发率较低。Objective To investigate the effect of laparoscopic surgery in adult patients with inguinal hernia.Methods A total of 266 cases of inguinal hernia treated in our hospital from January 2012 to January 2017 were selected as the subjects,among them,126 patients were treated with laparoscopic peritoneal prefovement repair were selected as the TAPP group,90 patients with complete peritoneal repair were selected as the TEP group.The operative time,postopera- tive hospital stay,postoperative VAS score,and complication rate and recurrence rate were compared between the two groups.Results The oPeration time of the TEP group （[45.5±9.8]min） was shorter than that of the TAPP group （[65.3± 10.5]min）,the differences were statistically significant （P〈0.05）.There was no significant difference in the hospitalization time between the two groups （P〉0.05）.There was no significant difference in the VAS scores of the patients at admission and postoperative 24 h between the two groups （P〉0.O5）.The incidence of abnormalities,serum swollen,intestinal paraly- sis and urinary retention in the TEP group were 5.6%,8.9%,1. 1%,8.9%,the incidence of abnormalities,serum swollen,in- testinal paralysis and urinary retention in the TAPP group were 8.7%,11.1%,2.4%,11.9%,the difference was statistically significant （P〈0.05）.The recurrence rate within 6 months after operation in the TEP group was 8.89%,which was higher than that in the TAPP group （3.10%）,with significant difference （P〈0.05）.Conclusion Laparoscopie surgery has obvious curative effect in the treatment of inguinal hernia in adult patients,and the incidence rate of complication and recur- rence rate of laparoseopic transabdominal preperitoneal repair are lower.

关 键 词：腹股沟疝 腹腔镜 疝修补术 

分 类 号：R656.21[医药卫生—外科学]