腹腔镜经腹腔腹膜前疝修补术对腹股沟疝患者血清指标及疼痛情况的影响  

Effects of laparoscopic transabdominal preperitoneal herniorrhaphy on serum parameters and pain in patients with inguinal hernia

作　　者：曾水明 黄俊晓[1] 李宇鸿[1] ZENG Shuiming;HUANG Junxiao;LI Yuhong(General Surgery Department of Wuchuan People's Hospital,Guangdong Wuchuan 524500,China)

机构地区：[1]吴川市人民医院普通外科,广东吴川524500

出　　处：《临床普外科电子杂志》2022年第3期107-110,共4页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的探究腹股沟疝患者行腹腔镜经腹腔腹膜前疝修补术(transabdominal preperitoneal herniorrhaphy,TAPP)对血清指标及疼痛情况的影响。方法选取2020年8月至2021年8月吴川市人民医院收治的88例腹股沟疝患者,按照手术方案分为对照组(n=41)和观察组(n=47),对照组患者实施开放无张力疝修补术治疗,观察组患者实施TAPP治疗,比较两组患者血清指标、疼痛程度、手术指标、并发症发生情况。结果术后36h,两组患者的C反应蛋白、白介素-6水平均高于术前,但观察组较对照组明显更低(P<0.05);术后3、10、24h使用视觉模拟评分法进行患者的疼痛程度评分,观察组的疼痛程度较对照组均更低(P<0.05);观察组患者的术中失血量少于对照组,手术用时、住院时间均短于对照组(P<0.05);观察组并发症发生率低于对照组(P<0.05)。结论TAPP治疗腹股沟疝患者,能够减少炎症的发生,可有效减轻患者的疼痛程度,促进患者恢复。Objective To investigate the effects of laparoscopic transabdominal preperitoneal herniorrhaphy(TAPP)on serum parameters and pain in patients with inguinal hernia.Method A total of 88 patients with inguinal hernia who received treatment in Wuchuan People's Hospital from August 2020 to August 2021 were selected as the subjects of this study,the patients were divided into control group(n=41)and observation group(n=47)according to the operation plan.The control group was treated with open tension-free hernia repair,and the observation group was treated with TAPP.The surgical serum indexes,pain degree,indicators and complications of the two groups were compared.Result 36h after surgery,the levels of C-reactive protein and interleukin-6 in 2 groups were higher than those before surgery,but significantly lower in observation group than control group(P<0.05).Visual analogue scale was used to score the pain degree of patients 3,10 and 24 hours after surgery,and the pain degree of the observation group was lower than that of the control group(P<0.05).The operation time,intraoperative blood loss and hospital stay in observation group were shorter than those in control group(P<0.05).The incidence of postoperative complications in observation group was less than that in control group(P<0.05).Conclusion TAPP for patients with inguinal hernia can reduce the occurrence of inflammation,effectively reduce the pain degree of patients,promote the recovery of patients.

关 键 词：腹腔镜经腹膜前疝修补术 血清指标 腹股沟疝 疼痛情况 

分 类 号：R65[医药卫生—外科学]