腹腔镜自制钳夹式疝环钩针法疝环闭合术治疗成人腹股沟斜疝患者的效果  

Effects of laparoscopic self-made clamp type hernia ring hook needle hernia ring closure in treatment of adult patients with indirect inguinal hernia

作　　者：王天琪 WANG Tianqi(Department of General Surgery of Xiayi County Second People’s Hospital,Shangqiu 476400 Henan,China)

机构地区：[1]夏邑县第二人民医院普外科,河南商丘476400

出　　处：《中国民康医学》2023年第6期69-72,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨腹腔镜自制钳夹式疝环钩针法疝环闭合术治疗成人腹股沟斜疝患者的效果。方法:回顾性分析2019年2月至2021年2月该院收治的93例成人腹股沟斜疝患者的临床资料,按照手术方法不同将其分为观察组(n=47)、对照组(n=46)。观察组行腹腔镜自制钳夹式疝环钩针法疝环闭合术治疗,对照组行经腹腹膜前腹腔镜腹股沟疝修补术(TAPP)治疗。比较两组围术期指标(术中出血量、手术时间、首次下床活动时间、住院时间)水平,术后1、3、7 d疼痛程度[视觉模拟评分法(VAS)]评分,术前和术后1、7 d应激指标[皮质醇(Cor)、去甲肾上腺素(NE)、血糖]水平,以及并发症发生率。结果:观察组首次下床活动时间、住院时间均短于对照组,差异有统计学意义(P<0.05);术后1、3 d,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05);术后1 d,观察组Cor、血糖、NE水平均低于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为2.13%(1/47),低于对照组的17.39%(8/46),差异有统计学意义(P<0.05);两组术中出血量、手术时间比较,差异均无统计学意义(P>0.05)。结论:腹腔镜自制钳夹式疝环钩针法疝环闭合术治疗成人腹股沟斜疝患者可缩短首次下床活动时间和住院时间,减轻术后疼痛和应激反应,降低并发症发生率,效果优于TAPP治疗。Objective:To explore effects of laparoscopic self-made clamp type hernia ring hook needle hernia ring closure in treatment of adult patients with indirect inguinal hernia.Methods:The clinical data of 93 adult patients with indirect inguinal hernia admitted to the hospital from February 2019 to February 2021 were retrospectively analyzed.According to different surgical methods,they were divided into observation group(n=47)and control group(n=46).The observation group was treated with laparoscopic self-made clamp type hernia ring hook needle hernia ring closure,while the control group was treated with Anteperitoneal laparoscopic inguinal hernia repair(TAPP).The levels of perioperative indicators(intraoperative blood loss,operation time,first time of getting out of bed,hospitalization time),the pain degree[visual analogue scale(VAS)]at 1,3,7 d after the surgery,the stress indicator levels[cortisol(Cor),norepinephrine(NE),blood glucose]before and 1,7 d after the surgery,and the incidence of complications were compared between the two groups.Results:The first time of getting out of bed and the hospitalization time in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).1 and 3 d after the surgery,the VAS scores of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).1 d after the surgery,the levels of Cor,blood glucose and NE in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 2.13%(1/47),which was lower than 17.39%(8/46)in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in intraoperative bleeding volume and surgical time between the two groups in transabdominal retroperitoneal laparoscopic inguinal hernia repair(P>0.05).Conclusions:Laparoscopic self-made clamp type hernia r

关 键 词：成人 腹股沟斜疝 腹腔镜 自制钳夹式疝环钩针法 经腹腹膜前腹腔镜腹股沟疝修补术 疼痛 应激 并发症 

分 类 号：R656.2[医药卫生—外科学]