TAPP与开放式无张力疝修补术治疗腹股沟疝的应用效果分析  

Analysis of the application effect of TAPP and open tension-free hernia repair for inguinal hernia

作　　者：曾久平 Zeng Jiuping(Department of General Surgery,Ruijin People's Hospital,Ganzhou,Jiangxi,342500,China)

机构地区：[1]瑞金市人民医院普外科,江西赣州342500

出　　处：《当代医学》2020年第27期113-115,共3页Contemporary Medicine

摘　　要：目的分析腹腔镜下经腹腔腹膜前疝修补术(TAPP)与开放式无张力疝修补术(OTFH)治疗腹股沟疝的应用效果。方法回顾性分析2018年6月至2019年5月本院治疗的腹股沟疝患者106例,依据治疗方法的不同分为对照组(n=51)和观察组(n=55)。对照组接受OTFH治疗,观察组接受TAPP治疗。观察两组围术期指标及并发症。结果观察组术中出血量(12.13±5.67)mL少于对照组(15.80±7.21)mL,住院时间(4.14±1.31)d短于对照组(7.86±2.69)d,视觉模拟评分法(VAS)评分(1.96±0.67)分、并发症发生率5.45%均低于对照组[(4.51±1.19)分、19.61%],差异有统计学意义(P<0.05);两组手术时间比较差异无统计学意义。结论腹股沟疝患者接受TAPP治疗手术耗时短,术中出血量、并发症少,利于减轻患者术后痛感,缩短住院时间。Objective To analyze effect of transabdominal preperitoneal herniorrhaphy(TAPP)and open tension-free hernia repair(OTFH)in the treatment of inguinal hernia.Methods A retrospective analysis of 106 patients with inguinal hernia treated in our hospital from June 2018 to May 2019 was divided into control group(n=51)and observation group(n=55)according to different treatment methods.The control group received OTFH treatment,the observation group received TAPP treatment.Perioperative indicators and complications were compared between the two groups.Results In the observation group,the intraoperative blood loss(12.13±5.67)mL was less than that in the control group(15.80±7.21)mL,the hospitalization time(4.14±1.31)d,shorter than the control group(7.86±2.69)d,visual analogue scale(VAS)(1.96±0.67)scores,complication rate(5.45%),lower than the control group[(4.51±1.19)scores,19.61%],the difference was statistically significant(P<0.05).There was no significant difference in the operation time of the two groups.Conclusion TAPP has a short operation time in the treatment of inguinal hernia,and the amount of intraoperative blood loss and complications are small,which is beneficial to alleviate postoperative pain and shorten hos in pitalization time.

关 键 词：腹股沟疝 腹腔腹膜前疝修补术 开放式无张力疝修补术 术中出血量 住院时间 并发症 

分 类 号：R656.21[医药卫生—外科学]