单向倒刺线在老年患者行腹腔镜经腹腹膜前疝修补术中的应用  

Application of unidirectional barbed suture in transabdominal preperitoneal prosthetic laparoscopic hernioplasty in elderly patients

作　　者：刘瑞[1] 赵金[1] 苏力夫[1] LIU Rui;ZHAO Jin;SU Li-Fu(Department of General Surgery, Third Affiliated Hospital of Inner Mongolia Medical University, Baotou 014010, Inner Mongolia Autonomous Region, China)

机构地区：[1]内蒙古医科大学第三附属医院普外科,内蒙古包头014010

出　　处：《中华老年多器官疾病杂志》2020年第8期590-593,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

摘　　要：目的研究单向倒刺线在老年患者行腹腔镜经腹腹膜前疝修补术(TAPP)中的应用效果。方法回顾性分析2016年11月至2019年6月内蒙古医科大学第三附属医院普外科行TAPP 120例老年患者的临床资料,其中倒刺线缝合组60例,薇乔线缝合组60例,比较2组患者的基线资料、手术缝合时间、手术时间、术中出血量、术后住院时间、术后第1天疼痛视觉模拟评分(VAS)及术后并发症。采用SPSS 20.0统计软件对数据进行处理。根据数据类型分别采用t检验或χ^2检验对数据进行比较分析。结果2组患者的基线资料、术中出血量、术后住院时间、术后第1天疼痛VAS评分、术后并发症等,差异均无统计学意义(P>0.05)。倒刺线组术中缝合时间[(10.4±1.6)min]和手术时间[(53.8±4.6)min]均短于薇乔线组[(15.4±4.8)、(66.2±5.4)min],且差异有统计学意义(P<0.05)。结论单向倒刺线连续缝合腹膜应用于TAPP简化了手术操作,缩短了手术时间,对老年患者具有重要意义,值得在临床推广。Objective To investigate the effect of unidirectional barbed suture in transabdominal preperitoneal prosthetic(TAPP)laparoscopic hernioplasty in the elderly patients.Methods A retrospective analysis was made of the clinical data of 120 elderly patients undergoing TAPP from November 2016 to June 2019 in the General Surgery Department of the Third Affiliated Hospital of Inner Mongolia Medical University.Unidirectional barbed suture was used in half of them(n=60)and Vicryl suture in the other half(n=60).The two groups were compared in baseline data,the suturing time,operation time,intraoperative bleeding volume,hospital stay,visual analogue scale(VAS)of pain on the first day after operation,and postoperative complications.The data was processed using SPSS statistics 20.0.Depending on data type,comparison was made using t-test orχ^2 test.Results There was no significant difference in baseline data,intraoperative bleeding volume,hospital stay,VAS score of pain on the first day after operation,and postoperative complications between the two groups(P>0.05).Unidirectional barbed suture group had shorter suturing time[(10.4±1.6)vs(15.4±4.8)min]and operation time[(53.8±4.6)vs(66.2±5.4)min]than Vicryl suture group,the differences being statistically significant(P<0.05).Conclusion Continuous suture of peritoneum with unidirectional barbed suture in TAPP simplifies the operation and shortens the operation time,which is of great significance to the elderly patients and is worthy of clinical application.

关 键 词：老年人 单向倒刺线 腹腔镜 经腹腹膜前疝修补术 

分 类 号：R656[医药卫生—外科学]