假性疝囊套扎在腹腔镜完全腹膜外疝修补术中的应用  

Application of ligation on false hernia sac with the snare in totally extraperitoneal inguinal hernia repair

作　　者：汤俊[1] 唐杰[1] 谢凯祥[1] 田涛瑞 Tang Jun;Tang Jie;Xie Kaixiang;Tian Taorui(Department of General Surgery,The First People's Hospital of Xiang Tan,Xiangtan 411101,China)

机构地区：[1]湘潭市第一人民医院普通外科

出　　处：《中华疝和腹壁外科杂志（电子版）》2019年第6期519-521,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的总结假性疝囊套扎在腹腔镜完全腹膜外疝修补术(TEP)中的应用。方法采用回顾性队列研究方法,收集2014年8月至2017年8月,湘潭市第一人民医院65例腹股沟直疝患者的临床资料。试验组患者33例,采用TEP术中行假性疝囊套扎假性疝囊套扎;对照组患者32例,采用TEP术中行假性疝囊旷置。观察2组患者术中出血量、手术时间、住院时间和并发症等指标。结果试验组血清肿发生率显著少于对照组,差异有统计学意义[0 vs 8(24.2%),χ^2=9.4,P<0.01];试验组手术时间、术中出血量和住院时间分别为(50.4±10.7)min、(5.0±0.5)ml和(6.0±1.5)d,与对照组(47.0±9.6)min、(4.0±0.5)ml和(7.0±1.2)d比较,差异均无统计学意义(t=0.44、0.15、0.44,P均>0.05);2组均无复发患者。结论假性疝囊套扎的TEP操作安全易行,能减少血清肿发生。Objective To explore the clinical effect of the ligation on the false hernia sac with the snare in TEP.Methods From August 2014 to August 2017,65 cases of direct inguinal hernia patients in the First People's Hospital of Xiang Tan were randomly divided into the ligation group(n=33)and the putting-aside group(n=32).Blood loss volume,operative time,length of hospitalization and complications were compared between the two groups.Results In the ligation group,the incidence of postoperative seroma was significantly lower than that in the putting-aside group(P<0.01);Blood loss volume,operative time,length of hospitalization of the two groups had no statistically significant difference(P>0.05).There was no recurrence.Conclusion Ligation on the false hernia sac with the snare in TEP is a safe approach,can increase the incidence of postoperative seroma.

关 键 词：疝 腹股沟 疝修补术 腹腔镜 假性疝囊 结扎术 血清肿 

分 类 号：R65[医药卫生—外科学]