腹腔镜经腹膜前修补术与疝环充填式无张力疝修补术治疗腹股沟疝患者的效果对比  

Comparison of Laparoscopic Transabdominal Preperitoneal and Plug Mesh Hernia Repair in the Treatment of Inguinal Hernia

作　　者：陈爱军 陈昊 CHEN Aijun;CHEN Hao(Zhangshu People's Hospital,Jiangxi Province,Zhangshu 331200,China;不详)

机构地区：[1]江西省樟树市人民医院,江西樟树331200

出　　处：《中国医学创新》2023年第4期46-49,共4页Medical Innovation of China

摘　　要：目的:对比疝环充填式无张力疝修补术与腹腔镜经腹膜前修补术(TAPP)治疗腹股沟疝患者的临床效果。方法:选取樟树市人民医院2021年2月-2022年2月收治的腹股沟疝患者70例,按照手术方式分为对照组(n=35)、观察组(n=35)。对照组采用疝环充填式无张力疝修补术,观察组采用腹腔镜TAPP。比较两组手术时间、术中出血量、术后持续疼痛时间、术后恢复正常活动时间及住院时间;比较两组手术前后炎症因子[白细胞介素-6(IL-6)、C反应蛋白(CRP)及肿瘤坏死因子-α(TNF-α)]水平;比较两组术后并发症发生率。结果:对照组与观察组手术时间比较,差异无统计学意义(P>0.05);观察组术中出血量少于对照组,术后持续疼痛时间、术后恢复正常活动时间及住院时间均短于对照组(P<0.05);术后3 d观察组炎症因子水平均明显低于对照组(P<0.05);观察组并发症发生率为2.86%,低于对照组的22.86%(P<0.05)。结论:腹腔镜TAPP治疗腹股沟疝患者在术中出血量、术后持续疼痛时间、术后恢复正常活动时间、住院时间、术后炎症因子水平及并发症发生率方面均明显优于疝环充填式无张力疝修补术。Objective:To compare the clinical effects of plug mesh hernia repair and laparoscopic transabdominal preperitoneal(TAPP)in the treatment of inguinal hernia.Method:A total of 70 patients with inguinal hernia who were admitted to Zhangshu People's Hospital from February 2021 to February 2022 were divided into the control group(n=35)and the observation group(n=35)according to the surgical method.The control group was treated with plug mesh hernia repair,and the observation group was treated with laparoscopic TAPP.The operation time,intraoperative bleeding volume,postoperative continuous pain time,postoperative return to normal activity time and hospital stay were compared between the two groups.The levels of inflammatory factors[interleukin-6(IL-6),C reactive protein(CRP)and tumor necrosis factor-α(TNF-α)]were compared between the two groups before and after the operation.The incidence of postoperative complications was compared between the two groups.Result:There was no significant difference in operation time between the control group and the observation group(P>0.05).The intraoperative bleeding volume in the observation group was less than that in the control group,and postoperative continuous pain time,postoperative return to normal activity time and hospital stay were shorter than those in the control group(P<0.05).3 days after operation,the levels of inflammatory factors in the observation group were significantly lower than those in the control group(P<0.05).The incidence of complications in the observation group was 2.86%,which was low er than 22.86%in the control group(P<0.05).Conclusion:Laparoscopic TAPP in the treatment of patients with inguinal hernia is obviously superior to plug mesh hernia repair in the aspects of intraoperative bleeding volume,postoperative continuous pain time,postoperative return to normal activity time,hospital stay,postoperative inflammatory factor levels and complication rate.

关 键 词：腹股沟疝 腹腔镜 经腹膜前修补术 疝环充填式无张力疝修补术 

分 类 号：R656.21[医药卫生—外科学]