精准理念下以膜为解剖标志在腹腔镜经腹腹膜前腹股沟疝无张力修补术中的应用  

Application of Peritoneum as Anatomical Marker in Laparoscopic Transabdominal Preperitoneal Hernia Repair under the Concept of Precision

作　　者：刘贵远[1] 周海华[1] LIU Gui-yuan;ZHOU Hai-hua(Taizhou People's Hospital,Taizhou Jiangsu 225300,China)

机构地区：[1]泰州市人民医院普外科,江苏泰州225300

出　　处：《泰州职业技术学院学报》2020年第5期47-50,共4页Journal of Taizhou Polytechnic College

摘　　要：目的探讨精准理念下以膜为解剖标志在腹腔镜经腹腹膜前疝修补术中的应用价值。方法选取2015年4月~2019年4月期间开展的腹腔镜经腹腹膜前腹股沟疝无张力修补术治疗80例患者文字及影像资料,分为对照组、观察组;对照组为传统TAPP;观察组为:精准TAPP(以膜为解剖标志)。比较2组患者手术时间、术后住院时间、术后引流液量、近期疗效等指标。结果观察组出现慢性疼痛1例(2.5%),对照组8例(20%);两组比较差异有统计学意义(P<0.05)。两组患者在术中出血量、手术时间、住院时间等方面的差异有统计学意义(P<0.05)。结论在TAPP中,以膜为解剖标志,能快速安全有效地建立腹膜外间隙进行腹股沟疝修补术,精准开展TAPP是安全的、可行的,值得推广。Objective To explore the application value of peritoneum as anatomic marker under the concept of precision in laparoscopic transabdominal preperitoneal hernia repair. Methods Retrospective analysis was performed on the data of patients who underwent laparoscopic tension-free repair of preperitoneal inguinal hernia with peritoneum as the anatomical marker from January 2017 to April 2018. The patients were divided into control group and observation group. The control group was traditional TAPP. Observation group was accurate TAPP(with peritoneum as anatomical marker). The operation time, hospitalization time, postoperative drainage fluid volume and short-term curative effect of the 2 groups were compared. Results One case(2.5%) in the observation group and eight cases(20%) in the control group had chronic pain. The difference between the two groups was statistically significant(P<0.05). There were statistically significant differences between the two groups in terms of intraoperative blood loss, duration of operation, length of stay,etc(P<0.05). Conclusion TAPP, using peritoneum as anatomical marker can quickly, safely and effectively establish the extraperitoneal space for inguinal hernia repair. Accurate TAPP is safe, feasible and worthy of promotion.

关 键 词：膜 腹腔镜 腹股沟疝 无张力修补术 

分 类 号：R656.21[医药卫生—外科学]