经腹直肌腹膜前联合腹腔内入路与McVay术治疗嵌顿性股疝的对照研究  

A comparative study of transabdominal rectus abdominis preperitoneal combined with the intraperitoneal approach and traditional Mcvay repair in the treatment of incarcerated femoral hernia

作　　者：杨文斌[1] 张建文[1] 谭欣 杨钊[1] 周凯凯[1] YANG Wenbin;ZHANG Jianwen;TAN Xin(Department of General Surgery,the First People's Hospital of Chenzhou,Hunan,Chenzhou 423000,China)

机构地区：[1]湖南省郴州市第一人民医院普通腹部外科,423000

出　　处：《临床外科杂志》2022年第11期1064-1067,共4页Journal of Clinical Surgery

基　　金：郴州科学技术局项目(zdyf201951)。

摘　　要：目的分析经腹直肌腹膜前联合腹腔内入路治疗嵌顿性股疝的临床价值。方法2019年5月~2022年1月我院疝外科收治的嵌顿性股疝病人56例,采用简单随机法分为两组,研究组30例,采用经腹直肌腹膜前联合腹腔内入路;对照组26例,采用传统Mcvay术治疗。比较两组手术时间、伤口长度、术后住院时间、住院费用、术后并发症(伤口感染率、术区慢性不适感、术后复发)等指标。结果研究组在手术时间、伤口长度、术区慢性不适感优于对照组,差异有统计学意义(P<0.05);两组住院时间、住院费用、伤口感染、血清肿、术后复发率比较,差异无统计学意义(P>0.05)。结论经腹直肌腹膜前联合腹腔内入路较McVay术治疗嵌顿性股疝具有手术简便、时间短、术区慢性不适感发生率低等特点。Objective To study the clinical efficacy of transabdominal rectus abdominis preperitoneal combined with the intraperitoneal approach in the treatment of incarcerated femoral hernia.Method A prospective study was conducted on 56 cases of incarcerated femoral hernia admitted to the Surgery Department of Gastroenterology and Hernia from May 2019 to January 2022.The experimental group(30 cases)was treated with transabdominal rectus abdominis preperitoneal combined with intraperitoneal approach,and the control group(26 cases)was treated with traditional Mcvay repair.The operative time,wound length,postoperative length of stay,expenses,postoperative complications(wound infection rate,chronic discomfort and postoperative recurrence)were observed and compared between the two groups.Result Shorter operative time,shorter length of wound and less chronic discomfort in the experimental group were found than those in the control group(P<0.05).There were no statistically significant differences in length of stay,expenses,wound infection rate,seroma severity and postoperative recurrence(P>0.05).Conclusion Compared with McVay repair,the transabdominal rectus abdominis preperitoneal combined with the intraperitoneal approach has the characteristics of simple operation,short time and low incidence of chronic discomfort in the operative area.

关 键 词：嵌顿性股疝 经腹直肌腹膜前联合腹腔内入路法 McVay术 

分 类 号：R656.2[医药卫生—外科学]