腹腔镜下经腹腹膜前疝修补术(TAPP)治疗腹股沟嵌顿疝的效果及对患者术后并发症的影响分析  

Analysis of the Effectiveness of Laparoscopic Transabdominal Preperito⁃neal Prosthesis(TAPP)for Inguinal Incarcerated Hernia and the Impact on Postoperative Complications of Patients

作　　者：郑赟 陈科杰 李翰城 廖乘龙 ZHENG Yun;CHEN Kejie;LI Hancheng;LIAO Chenglong(Department of General SurgeryⅠ,Ningde Hospital Affiliated to Ningde Normal College,Ningde,Fujian Province,352100 China)

机构地区：[1]宁德师范学院附属宁德市医院普外一科,福建宁德352100

出　　处：《中外医疗》2022年第33期92-95,100,共5页China & Foreign Medical Treatment

摘　　要：目的研究腹腔镜下腹膜前疝修补术(transabdominal preperitoneal prosthesis,TAPP)应用于腹股沟嵌顿疝的效果,分析对患者术后并发症的影响。方法方便选取2019年1月-2021年12月在宁德师范学院附属宁德市医院就诊的76例腹股沟嵌顿疝患者,通过计算机随机分组法规范分组,将进行常规开放无张力疝修补术治疗的38例患者纳入对照组,进行腹腔镜下TAPP治疗的38例患者纳入观察组。比较两组的治疗效果。结果观察组的术中出血量少于对照组,手术耗时、术后下床活动时间、住院时间短于对照组,差异有统计学意义(P<0.05);观察组术后6、12、24、72 h的NRS评分以及术后1 d的CRP、PCT均低于对照组,差异有统计学意义(P<0.05);观察组的并发症发生率、术后6个月复发率分别为7.89%、5.26%,均低于对照组,差异有统计学意义(χ^(2)=4.547、5.208,P<0.05)。结论在腹股沟嵌顿疝患者的治疗中,腹腔镜下TAPP具有较高的治疗有效性、安全性,且预后效果良好。Objective To study the effect of laparoscopic transabdominal anterior preperitoneal prosthesis(TAPP)applied in inguinal incarcerated hernia and analyze the effect on postoperative complications in patients.Methods A total of 76 patients with inguinal incarcerated hernias who were referred to Ningde City Hospital affiliated with Ningde normal college between January 2019 and December 2021 were conveniently selected,the grouping was standardized by computerized random grouping method,and 38 patients who underwent conventional open tension-free hernia repair treatment were included in the control group,while 38 patients who underwent laparoscopic TAPP treatment were included in the observation group.The treatment results of the two groups were compared.Results The intraoperative bleeding in the observation group was less than that in the control group,postoperative activity time,and the time to get out of bed after operation,and hospital stay were shorter than those in the control group,the difference was statistically significant(P<0.05).The NRS scores at 6 h,12 h,24 h and 72 h postoperatively and the CRP and PCT at 1 d postoperatively in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of complications and postoperative recurrence rate at 6 months postoperatively were 7.89%and 5.26%in the observation group,respectively,which were lower than those in the control group,and the differences were statistically significant(χ^(2)=4.547,5.208,P<0.05).Conclusion In the treatment of patients with inguinal hernia,laparoscopic TAPP has high therapeutic effectiveness,safety,and good prognosis.

关 键 词：腹股沟嵌顿疝 腹腔镜下腹膜前疝修补术 并发症 

分 类 号：R61[医药卫生—外科学]