TAPP治疗腹股沟疝的临床效果分析  

Clinical effect analysis of TAPP in the treatment of inguinal hernia

作　　者：高文 GAO Wen(Department Two of Surgery,Nanchang Hospital of Traditional Chinese Medicine,Nanchang 330200,China)

机构地区：[1]南昌县中医院外二科,330200

出　　处：《中国实用医药》2023年第15期10-13,共4页China Practical Medicine

摘　　要：目的分析腹腔镜下经腹腹膜前疝修补术(TAPP)治疗腹股沟疝的效果。方法80例腹股沟疝患者为研究对象,随机分为对照组与观察组,各40例。对照组采用传统开放手术治疗,观察组采用TAPP治疗。对比两组手术应激指标、康复情况、术后并发症发生情况、炎症指标[白细胞介素-6(IL-6)、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)]及手术前后生活质量评分。结果手术30 min、手术结束时,观察组促肾上腺素、血清皮质醇水平均低于对照组,差异有统计学意义(P<0.05)。观察组手术时间(44.65±10.38)min、住院时间(4.25±0.52)d、术后疼痛消失时间(4.25±0.36)d、下床活动时间(15.85±0.15)h均短于对照组的(66.25±14.25)min、(7.59±0.81)d、(7.26±0.85)d、(23.26±0.69)h,差异有统计学意义(P<0.05)。观察组术后并发症发生率5.00%低于对照组的25.00%,差异有统计学意义(P<0.05)。观察组术后IL-6(151.35±9.56)pg/ml、CRP(15.48±1.07)mg/L、TNF-α(71.54±2.59)pg/ml均低于对照组的(181.65±14.25)pg/ml、(18.69±2.36)mg/L、(80.25±6.35)pg/ml,差异有统计学意义(P<0.05)。手术后,观察组生活质量评分(72.48±3.32)分高于对照组的(61.63±8.48)分,差异有统计学意义(P<0.05)。结论对于腹股沟疝患者,应用TAPP治疗应激反应更小,术后康复速度更快,康复效果更好,并发症少,炎症水平低,对术后生活质量也有更好的改善作用。Objective To discuss the effect of laparoscopic transabdominal preperitoneal repair(TAPP)in the treatment of inguinal hernia.Methods A total of 80 patients with inguinal hernia were randomly divided into control group and observation group,with 40 cases in each group.The control group was treated with traditional open surgery,and the observation group was treated with TAPP.Both groups were compared in terms of surgical stress indicators,recovery,postoperative complications,inflammatory indicators[interleukin-6(IL-6),C-reactive protein(CRP),tumor necrosis factor-α(TNF-α)]and quality of life score before and after surgery.Results At 30 min of surgery and at the end of surgery,the levels of adrenaline and serum cortisol in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).In the observation group,the operative time was(44.65±10.38)min,the hospitalization time was(4.25±0.52)d,the postoperative pain disappearance time was(4.25±0.36)d,and the off-bed ambulation time was(15.85±0.15)h,which were shorter than those of(66.25±14.25)min,(7.59±0.81)d,(7.26±0.85)d,and(23.26±0.69)h in the control group,and the differences were statistically significant(P<0.05).The incidence of postoperative complications in the observation group was 5.00%,which was lower than that of 25.00%in the control group,and the difference was statistically significant(P<0.05).After surgery,the observation group had IL-6 of(151.35±9.56)pg/ml,CRP of(15.48±1.07)mg/L,and TNF-αof(71.54±2.59)pg/ml,which were lower than those of(181.65±14.25)pg/ml,(18.69±2.36)mg/L,and(80.25±6.35)pg/ml in the control group,and the differences were statistically significant(P<0.05).After surgery,the quality of life score of(72.48±3.32)points in the observation group was higher than that of(61.63±8.48)points in the control group,and the difference was statistically significant(P<0.05).Conclusion For patients with inguinal hernia,TAPP treatment has less stress response,faster postoperative

关 键 词：腹腔镜下经腹腹膜前疝修补术 腹股沟疝 并发症 康复时间 

分 类 号：R656.21[医药卫生—外科学]