腹腔镜全腹膜外无张力修补术治疗双侧腹股沟疝的临床应用  

Clinical Application of Laparoscopic Total Extraperitoneal Tension-free Repair for Bilateral Inguinal Hernia

作　　者：朱天正[1] ZHU Tian-zheng(Department of General Surgery,People's Hospital of Hechuan District,Chongqing,401520 China)

机构地区：[1]重庆市合川区人民医院普外科,重庆401520

出　　处：《系统医学》2020年第1期95-96,149,共3页Systems Medicine

摘　　要：目的双侧腹股沟疝患者分别通过腹腔镜全腹膜外无张力修补术与开放式无张力疝修补术进行治疗,对比较两组患者的手术指标以及并发症的发生情况,评价微创手术的优势。方法该次研究目标为2015—2018年间该院收治的100例双侧腹股沟疝患者,展开分组,两组的治疗方法不同由50例患者所构成。观察组患者通过腹腔镜全腹膜外无张力修补术进行治疗,对照组患者通过开放式无张力疝修补术进行治疗,对两组患者所获得的手术时间、住院时间、VAS的改善情况、正常活动恢复时间进行比较,对比观察组与对照组的并发症的比较情况。结果观察组患者手术情况除了手术时间以外均优良于对照组,差异有统计学意义(t=5.515、5.105、6.148、6.048,P<0.05);观察组患者的并发症发生概率为∶8.00%(4/50),2例患者出现尿潴留,2例患者出现阴囊发生血肿情况,对照组患者的并发症的发生概率为16.00%(8/50),其中5例患者出现尿潴留,3例患者出现阴囊发生血肿,差异有统计学意义(χ^2=16.433,P<0.05)。结论双侧腹股沟疝患者通过微创手术进行治疗,可以得到明显的治疗效果,且术后康复快,预后良好。Objective Patients with bilateral inguinal hernia were treated with laparoscopic total extraperitoneal tension-free repair and open tension-free hernia repair.The surgical indexes and complications of the two groups were compared to evaluate minimally invasive surgery.The advantages.Methods:The goal of this study was to treat 100 patients with bilateral inguinal hernia admitted to the hospital between 2015 and 2018.The treatment was divided into 50 patients.Patients in the observation group were treated with laparoscopic total extraperitoneal tension-free repair.Patients in the control group were treated with open tension-free hernia repair.The operation time,hospital stay,VAS improvement,and normal activities were obtained for the two groups.The recovery time was compared and the comparison of the complications between the observation group and the control group was compared.Results The operation of the observation group was superior to the control group except the operation time,and the difference was statistically significant.(t=5.515,5.105,6.148,6.048,P<0.05).The complications probability of occurrence of the observation group was:8.00%(4/50),urinary retention occurred in 2 patients,and hematoma occurred in 2 patients.The incidence of complications in the control group was 16.00%(8/50),of which 5 patients had urinary retention,and 3 patients developed hematoma in the scrotum.The difference was statistically significant(χ^2=16.433,P<0.05).Conclusion Patients with bilateral inguinal hernia can be treated with minimally invasive surgery,and the treatment effect can be obtained.The postoperative recovery is fast and the prognosis is good.

关 键 词：全腹膜外无张力修补术 开放式无张力疝修补术 双侧腹股沟疝 

分 类 号：R656[医药卫生—外科学]