腹膜前间隙负压引流对双侧TAPP术后血清肿发生率的影响探讨  

Effect of negative pressure drainage in the preperitoneal space on the incidence of seroma after bilateral TAPP

作　　者：柳瑞军 宋国权 LIU Rui-jun;SONG Guo-quan(Affiliated Hospital of Gansu Medical College,Pingliang 744000,China)

机构地区：[1]甘肃医学院附属医院,744000

出　　处：《中国实用医药》2023年第24期31-34,共4页China Practical Medicine

摘　　要：目的探讨腹膜前间隙放置负压引流管对双侧腹腔镜经腹腹膜前疝修补术(TAPP)术后血清肿发生率的影响。方法54例双侧腹股沟疝患者,采用随机数字表法分为引流组(26例)和对照组(28例)。两组患者均接受双侧TAPP治疗,引流组患者TAPP中关闭腹膜前放置负压引流管,对照组患者TAPP中未放置引流管。比较两组患者手术时间、住院时间及术后疼痛情况、血清肿发生情况。结果两组手术时间、术后住院时间、术后疼痛发生率比较,差异无统计学意义(P>0.05)。术后3、14 d,引流组血清肿发生率分别为11.54%、3.85%,均低于对照组的35.71%、28.57%,差异有统计学意义(P<0.05)。结论在双侧TAPP中,腹膜前间隙放置负压引流管能够有效降低术后血清肿的发生率,且不会加重术后疼痛程度,也未延长手术时间及住院时间,临床可推广。Objective To discuss the effect of negative pressure drainage in the preperitoneal space on the incidence of seroma after bilateral transabdominal preperitoneal(TAPP).Methods A total of 54 patients with bilateral inguinal hernia were divided into a drainage group(26 cases)and a control group(28 cases)according to random numerical table.Patients in both groups received bilateral TAPP treatment.Patients in the drainage group had negative pressure drainage tube placed in TAPP,while patients in the control group had no drainage tube placed in TAPP before closing the peritoneum.The operative time,hospital stay,postoperative pain and occurrence of seroma were compared between the two groups.Results There were no statistically significant differences in operative time,postoperative hospital stay and incidence of postoperative pain between the drainage group and the control group(P>0.05).On 3 and 14 d postoperatively,the incidence rates of seroma in the drainage group were 11.54%and 3.85%,which were lower than those of 35.71%and 28.57%in the control group,and the differences were statistically significant(P<0.05).Conclusion In bilateral TAPP,the placement of negative pressure drainage tube in the preperitoneal space can effectively reduce the incidence of postoperative seroma,without increasing the intensity of postoperative pain,nor extending the operative time and hospital stay,which can be popularized clinically.

关 键 词：腹股沟疝 双侧腹腔镜经腹腹膜前疝修补术 负压引流管 腹膜前间隙 血清肿 

分 类 号：R656.21[医药卫生—外科学]