经腹腔途径腹膜前腹股沟疝补片修补术的临床应用研究  

Clinical Application of Transabdominal Pathway Anterior Peritoneal Inguinal Hernia Patch Repair

作　　者：徐佳 汪星 喻性亮 XU Jia;WANG Xing;YU Xing-liang(Leping People’s Hospital,Jiangxi Leping 333300)

机构地区：[1]乐平市人民医院,江西乐平333300

出　　处：《中国医疗器械信息》2024年第13期141-143,共3页China Medical Device Information

基　　金：景德镇市科技计划项目(项目名称:经腹腔途径腹膜前腹股沟疝补片修补术的临床应用研究,项目编号:20232SFZC057)。

摘　　要：目的:研究经腹腔途径腹膜前腹股沟疝补片修补术治疗腹股沟疝的临床效果。方法:选择2021年1月~2023年12月在本院进行手术的腹股沟疝患者60例,采取随机分组的方式,将其分成观察组、对照组。对照组实施传统开放无张力疝修补术治疗;观察组实施经腹腔途径腹膜前腹股沟疝补片修补术治疗。比较两组操作切口长度、出血量、下床活动时间、疼痛消失时间、切口愈合时间、住院总时间、手术操作时间、治疗费用、术后阵痛使用频率、视觉模拟评分法评分、不良反应发生率。结果:观察组患者操作切口长度小于对照组,组间数据比较P<0.05;观察组出血量少于对照组,组间数据比较P<0.05;观察组下床活动时间、疼痛消失时间、切口愈合时间、住院总时间短于对照组,组间数据比较P<0.05;手术操作时间长于对照组,组间数据比较P<0.05;治疗费用多于对照组,组间数据比较P<0.05;观察组不良反应发生率、复发率与对照组比较,无统计学差异P>0.05;观察组术后阵痛使用频率少于对照组,组间数据比较P<0.05;观察组视觉模拟评分法评分低于对照组,组间数据比较P<0.05。结论:腹股沟疝患者采用经腹腔途径腹膜前腹股沟疝补片修补术方式进行治疗效果明显。Objective:To study the clinical effect of treating patients with inguinal hernia by transperitoneal anterior inguinal hernia patch repair.Methods:A total of 60 patients with inguinal hernia who underwent surgery in our hospital from January 2021 to December 2023 were randomly grouped and divided into observation group and control group.The control group carried out the traditional open tension-free hernia repair treatment;The observation group carried out the transabdominal path anterior peritoneal inguinal hernia patch repair treatment.Compare the length of the operation incision,the amount of bleeding,the time of going out of the bed,the time of pain disappearing,the time of the incision healing,the total time of hospitalization,the operation time,the treatment cost,the frequency of postoperative labor pain,the VAS score,and the incidence of adverse reactions.Results:The length of the operation incision of patients in the observation group was less than that of the control group,and the data between the group was compared with P<0.05;The amount of bleeding in the observation group was less than that of the control group,and the data between the groups was compared with P<0.05;The time of bed activity,the time of pain disappearance,the time of incision healing time and the total time of hospitalization in the observation group was shorter than that of the control group,and the data between the group was P<0.05;The operation time of the operation was longer than that of the control group,and the data between the group was P<0.05;The treatment cost of treatment was more than that of the control group,and the data was P<0.05;The incidence and recurrence rate of the observation group was compared with the control group,and there was no statistical difference P>0.05;The frequency of postoperative pain use in the observation group was lower than that in the control group,and the inter group data comparison was P<0.05;The VAS score of the observation group was lower than that of the control group,and the inter group da

关 键 词：腹股沟疝 经腹腔 腹膜前腹股沟疝补片修补术 

分 类 号：R656.21[医药卫生—外科学]