开放腹膜前无张力疝修补术与TAPP治疗腹股沟疝的临床效果对比  

Clinical Comparison of Open Preperitoneal Tension-free Hernioplasty and TAPP in Treatment of Inguinal Hernia

作　　者：朱春华 徐忠 陈啸 ZHU Chunhua;XU Zhong;CHEN Xiao(General Surgery Department,Nantong City Haimen District The Second People's Hospital,Nantong,Jiangsu 226121)

机构地区：[1]南通市海门区第二人民医院普外科,江苏南通226121

出　　处：《智慧健康》2023年第17期228-231,共4页Smart Healthcare

摘　　要：目的 探讨开放腹膜前无张力疝修补术和腹腔镜下经腹腔腹膜前疝修补术(TAPP)在腹股沟疝中的临床诊疗效果。方法 选取2021年1月-2022年12月来本院治疗的40例腹股沟疝患者作为研究对象,利用数字表法分组方式将40例患者随机分成对照组和实验组,每组20例。对照组采取开放腹膜前无张力疝修补术治疗,实验组采取TAPP治疗。比较两组患者治疗过程中手术相关指标以及手术后恢复指标和术后疼痛感。结果实验组患者手术时间较对照组更长(P<0.05);但手术切口长度和术中失血量较对照组更少(P<0.05);在恢复相关指标比较中,实验组患者手术后肠道功能恢复所用时间以及住院时间均短于对照组,差异有统计学意义(P<0.05)。实验组患者手术后6h、12h和24h的疼痛度较对照组更低,数据存在统计学意义(P<0.05)。结论TAPP治疗方式对于腹股沟疝患者临床效果更好,不仅可以有效降低患者手术后的疼痛感,还能提高患者恢复时间,治疗方式值得推广。Objective To investigate clinical diagnosis and treatment effect of open preperitoneal tension-free hernioplasty and TAPP for Inguinal hernia.Methods The paper chose 40 patients with Inguinal hernia in our hospital from January 2021 to December 2022 as study objects and divided them into control group and experimental group randomly with numerical table method,with 20 cases in each group.Control group was treated with open pre peritoneal tension free hernia repair surgery and experimental group with laparoscopic transabdominal anterior peritoneal hernia repair(TAPP).Surgical related indicators,postoperative recovery indicators and postoperative pain sensation were compared between two groups during treatment process.Results Surgical indicators comparison showed,experimental group had longer surgical time than control group(P<0.05).However,length of surgical incision and blood loss during operation was less than control group(P<0.05).Comparison of recovery related indicators showed,postoperative intestinal function recovery and hospital stay in experimental group was shorter than control group(P<0.05),indicating statistical significance of data.Pain levels of experimental group were lower at 6 hours,12 hours and 24 hours after surgery than control group(P<0.05),data showed statistical significance.Conclusion TAPP can achieve good clinical effect on Inguinal hernia patients,can reduce pain of patients after surgery effectively,improve recovery time,which is worthy of promotion.

关 键 词：腹股沟疝 开放腹膜前无张力疝修补术 腹腔镜下经腹腔腹膜前疝修补术 

分 类 号：R656.21[医药卫生—外科学]