可吸收线缝合固定补片与疝螺旋钉固定补片在腹股沟疝TAPP术中的应用  

Application of Absorbable Suture and Hernia Screw in the Fixation of Mesh in TAPP Surgery for Inguinal Hernia

作　　者：屠俊杰 韩雨倩[2] TU Junjie;HAN Yuqian(Department of General Surgery,the People's Hospital of Fangcheng County,Nanyang 473200,China;Department of General Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]河南省方城县人民医院普外科,河南南阳473200 [2]郑州大学第一附属医院普外科,河南郑州450052

出　　处：《临床医学工程》2021年第12期1595-1596,共2页Clinical Medicine & Engineering

基　　金：河南省医学科技攻关项目“腹股沟滑疝开放式手术治疗的临床应用”(201503063)。

摘　　要：目的探讨可吸收线缝合固定补片与疝螺旋钉固定补片在腹股沟疝TAPP术中的应用效果。方法86例行TAPP术治疗的腹股沟疝患者依据术中补片固定方法的不同均分为两组,A组采用可吸收线缝合固定补片,B组采用疝螺旋钉固定补片,比较两组的手术指标、术后疼痛评分及并发症发生率。结果A组的手术时间、住院时间均短于B组,住院费用低于B组(P<0.05)。A组术后12 h、24 h的VAS评分均低于B组(P<0.05)。A组的并发症发生率为4.65%,低于B组的20.93%(P<0.05)。结论可吸收线缝合固定补片较疝螺旋钉固定补片在腹股沟疝TAPP术中的应用效果更好,且安全性更高。Objective To explore the application effects of absorbable suture and hernia screw in the fixation of mesh in TAPP surgery for inguinal hernia.Methods 86 patients with inguinal hernia treated with TAPP surgery were equally divided into two groups according to different methods of mesh fixation during surgery.The mesh in group A was fixed by absorbable suture,while the mesh in group B was fixed by hernia screw.The surgery indicators,postoperative pain score and incidence of complications were compared between the two groups.Results The operation time and hospitalization time of group A were shorter than those of group B,and the hospitalization cost was lower than that of group B(P<0.05).The VAS scores at 12 h and 24 h after surgery of group A were lower than those of group B(P<0.05).The incidence of complications of group A was 4.65%,lower than 20.93%of group B(P<0.05).Conclusions Absorbable suture fixed mesh has better application effect and higher safety than hernia screw fixed mesh in TAPP surgery for inguinal hernia.

关 键 词：腹股沟疝 TAPP 可吸收线缝合 疝螺旋钉 

分 类 号：R656.21[医药卫生—外科学]