腹腔镜下经腹腹膜前疝修补与平片式无张力疝修补治疗腹股沟疝患者的效果对比  

Comparison of Laparoscopic Transabdominal Anterior Peritoneal Hernia Repair and Flat Plate Tension-free Hernia Repair in the Treatment of Patients with Inguinal Hernia

作　　者：鲁平 LU Ping(Songzi Traditional Chinese Medicine Hospital,Songzi 434200,China)

机构地区：[1]松滋市中医医院,湖北松滋434200

出　　处：《中外医学研究》2023年第19期113-117,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:对比腹腔镜下经腹腹膜前疝修补术(TAPP)与平片式无张力疝修补术(Lichtenstein术)治疗腹股沟疝患者的效果。方法:选取2021年3月—2022年3月松滋市中医医院收治的121例腹股沟疝患者为研究对象,按照随机数表法分为两组,A组60例采用Lichtenstein术,B组61例采用TAPP,比较两组临床指标、疼痛程度、复发率及并发症发生率。结果:B组术中出血量少于A组,首次排气时间、首次离床时间早于A组,住院时间短于A组,差异有统计学意义(P<0.05);B组术后不同时间视觉模拟评分法(VAS)评分均低于A组,差异有统计学意义(P<0.05);B组复发率略低于A组(1.64%vs 5.00%),但组间复发率对比,差异无统计学意义(P>0.05);B组并发症发生率略低于A组(3.28%vs10.00%),但组间并发症发生率对比,差异无统计学意义(P>0.05)。结论:与Lichtenstein术相比,TAPP可减少术中出血,缓解术后疼痛,且不增加并发症发生率及复发率。Objective:To compare the efficacy of laparoscopic transabdominal anterior peritoneal hernia repair(TAPP)and flat plate tension-free hernia repair(Lichtenstein's procedure)in the treatment of patients with inguinal hernia.Method:A total of 121 patients with inguinal hernia who admitted to Songzi Traditional Chinese Medicine Hospital from March 2021 to March 2022 were selected as the study subjects,they were randomly divided into two groups according to the method of digital table.Group A(n=60)was treated with Lichtenstein's procedure,and group B(n=61)was treated with TAPP.The clinical indicators,degree of pain,recurrence rate and complication rate of two groups were compared.Result:The amount of intraoperative bleeding in group B was less than that in group A,and the first exhaust time,the first time out of bed were earlier than those in group A,the hospitalization time was shorter than that in group A,the differences were statistically significant(P<0.05);the visual analogue scale(VAS)scores of group B at different time points after surgery were lower than those of group A,the differences were statistically significant(P<0.05);the recurrence rate in group B was slightly lower than that in group A(1.64%vs 5.00%),but there was no significant difference between two groups(P>0.05);the incidence of complications in group B was slightly lower than that in group A(3.28%vs 10.00%),but there was no significant difference between two groups(P>0.05).Conclusion:Compared with Lichtenstein's procedure,TAPP can reduce intraoperative bleeding,alleviate postoperative pain,and do not increase the incidence of complications or recurrence rates.

关 键 词：腹股沟疝 平片式无张力疝修补术 腹腔镜下经腹腹膜前疝修补术 

分 类 号：R656.21[医药卫生—外科学]