探讨TEP手术在特殊腹股沟疝患者中的应用  

Application of TEP Surgery in Patients with Special Inguinal Hernia

作　　者：尹照成 YIN Zhaocheng(Department of Surgery I,Dongguan Qingxi Hospital,Dongguan,Guangdong Province,523660 China)

机构地区：[1]东莞市清溪医院外一科,广东东莞523660

出　　处：《中外医疗》2023年第12期47-50,共4页China & Foreign Medical Treatment

基　　金：东莞市社会科技发展项目(202050715015274)。

摘　　要：目的探索全腹膜外疝修补术(totally extraperitoneal,TEP)运用在特殊腹股沟疝患者的治疗过程中的临床应用效果。方法随机选取2020年4月—2021年4月在东莞市清溪医院接受腹股沟疝修补术的患者60例为研究对象,以随机数表法对患者分组,研究组和对照组各30例。对照组实施李金斯坦无张力修补术,观察组实施全腹膜外腹腔镜疝修补术,观察手术情况与术后并发症发生率。结果治疗后,观察组各项手术指标明显优于对照组,差异有统计学意义(P<0.05)。对照组的并发症发生率为20.00%,高于观察组的0.00%,差异有统计学意义(χ^(2)=4.630,P<0.05)。观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论TEP术后患者炎症指标改善明显,术后并发症发生率更低,手术效果及术后恢复进程更好,是一种安全有效的手术方式。Objective To explore the clinical application effect of total extraperitoneal hernia repair(TEP)in the treatment of special inguinal hernia patients.Methods 60 patients who underwent inguinal hernia repair surgery at Qingxi Hospital in Dongguan City from April 2020 to April 2021 were randomly selected as the study subjects.The patients were grouped using a random number table method,with 30 patients in the study group and 30 patients in the control group.The control group underwent tension free hernia repair with Likenstein,while the observation group underwent total extraperitoneal laparoscopic hernia repair.The surgical situation and incidence of postoperative complications were observed.Results After treatment,the observation group had significantly better surgical indicators than the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the control group was 20.00%,higher than the observation group's 0.00%,and the difference was statistically significant(χ^(2)=4.630,P<0.05).The overall effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The inflammatory indexes were significantly improved in the patients after TEP surgery,and the incidence of postoperative complications was lower.The surgical effect and postoperative recovery process were better,which was a safe and effective surgical method.

关 键 词：TEP手术 脐旁腹直肌切口 观察孔 腹股沟疝 

分 类 号：R656[医药卫生—外科学]