TAPP与Li-chtenstein疝修补术治疗复发性腹股沟疝患者的效果  

Efficacy of TAPP and Li-Chtenstein Hernia Repair in the Treatment of Recurrent Inguinal Hernia

作　　者：薛金晶 张德龙 于鑫 XUE Jinjing;ZHANG Delong;YU Xin(Department of General Surgery,Shenyang Sixth People's Hospital,Shenyang 110006,China)

机构地区：[1]沈阳市第六人民医院普外四科,辽宁沈阳110006

出　　处：《中国医药指南》2021年第9期98-99,共2页Guide of China Medicine

摘　　要：目的探究复发性腹股沟疝患者实施腹腔镜经腹腔腹膜前疝修补术(TAPP)与开放式无张力(Li-chtenstein)疝修补术治疗的临床效果。方法选取2019年4月至2020年3月我院收治的72例复发性腹股沟疝患者作为观察对象,依据摸球法分为两组,其中实施TAPP治疗的36例患者作为观察组,实施Li-chtenstein疝修补术治疗的38例患者作为对照组。比较两组临床相关指标、并发症发生情况、复发率。结果两组手术时间比较,差异无统计学意义(P>0.05);观察组术中出血量、术后24 h疼痛评分、首次进食时间、首次下床活动时间、住院时间分别为(14.32±3.16)mL、(3.24±1.32)分、(14.32±3.22)h、(1.64±0.21)d与(4.32±0.12)d,对照组分别为(22.13±4.32)mL、(5.32±1.22)分、(19.35±3.26)h、(3.26±0.32)d、(5.64±0.23)d,差异均有统计学意义(P<0.05);观察组并发症总发生率与复发率明显低于对照组,差异均有统计学意义(P<0.05)。结论经TAPP治疗可有效发挥微创治疗的优势,其创伤较小,患者术后恢复较快,可有效改善患者的病情,缓解其疼痛程度,促进康复。Objective To explore the clinical effect of TAPP and Li-chtenstein in the treatment of recurrent inguinal hernia.Methods A total of 72 patients with recurrent inguinal hernia in our hospital from April 2019 to March 2020 were divided into two groups according to the method of touching the ball,36 patients were treated with TAPP as the observation group,and 38 patients with Li-chtenstein hernia repair as the control group.The clinical related indexes,complications and recurrence rate were compared between the two groups.Results There was no significant difference in the operation time between the two groups(P>0.05);the intraoperative blood loss,postoperative 24-hour VAS score,first eating time,first ambulation time and hospitalization time were(14.32±3.16)mL,(3.24±1.32)points,(14.32±3.22)hours,(1.64±0.21)days,(4.32±0.12)days in the observation group,and were(22.13±4.32)mL,(5.32±1.22)points,(19.35±3.26)hours,(3.26±0.32)days,(5.64±0.23)days in the control group,the differences were statistically significant(P<0.05).The incidence of complications and recurrence rate in the observation group was significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion TAPP treatment can effectively play the advantages of minimally invasive treatment,with less trauma and faster recovery,which can effectively improve the patient's condition,relieve pain and promote early recovery of patients.

关 键 词：复发性腹股沟疝 开放式无张力疝修补术 腹腔镜经腹腔腹膜前疝修补术 临床疗效 并发症 

分 类 号：R656.21[医药卫生—外科学]