腹腔镜探查联合疝囊高位缝扎治疗嵌顿性腹股沟疝的疗效  

作　　者：翁晓奇 姜宇朋 张伟波 

机构地区：[1]浙江省桐乡市第一人民医院,314500

出　　处：《浙江临床医学》2023年第5期703-704,707,共3页Zhejiang Clinical Medical Journal

基　　金：浙江省医药卫生科技计划项目(2020ZH053)。

摘　　要：目的探讨腹腔镜探查联合疝囊高位缝扎治疗中老年男性嵌顿性腹股沟疝的疗效。方法2018年1月至2022年1月桐乡市第一人民医院收治并手术的65例嵌顿性腹股沟疝患者的临床资料进行回顾性分析,根据手术方式不同分为2组。观察组34例,行腹腔镜探查术联合疝囊高位缝扎;对照组31例,行腹股沟区探查联合疝囊高位缝扎。对两组患者的手术时间、术后住院时间、术后切口感染及肠切除数进行统计学分析。结果观察组手术时间、术后住院时间较对照组手术时间明显缩短(P<0.05),两组患者肠坏死切除数、术后切口感染发生率差异无统计学意义(P>0.05)。结论腹腔镜探查联合疝囊高位缝扎有效缩短了手术时间,具有视野广、创伤小、疼痛轻优势,易于推广。Objective To investigate the clinical efficacy of laparoscopic exploration combined with high sutures of the hernia sac in the treatment of inguinal incarcerated inguinal hernia in adults.Methods The clinical data of 65 patients with incarcerated inguinal hernia from January 2018 to January 2022 in Tongxiang First People's Hospital was retrospectively analyzed.34 patients underwent laparoscopic exploration with high sutures of the hernia sac(the observation group),31 patients were treated with inguinal exploration combined with high sutures of the hernia sac(the control group).All 65 operations were successfully completed.Results The time of operation in the observation group was(40.33±8.85)minutes,compared to(55.26±7.64)minutes in the control group(P<0.05),and the time of average postoperative hospitalization in the observation group was(5.07±0.9)d,compared to(6.77±0.74)d in the control group,with statistical significance(P<0.05).There were no significant differences between the 2 groups regarding the postoperative adverse events rate,SSI,number of bowel resections(both P>0.05).Conclusion Laparoscopic exploration combined with high sutures of the hernia sac is easy to learn,easy to perform,and has few complications.It is worth being wildly used.

关 键 词：嵌顿性腹股沟疝 腹腔镜探查 疝囊高位结扎术 

分 类 号：R656.21[医药卫生—外科学]