腹腔镜经腹腹膜前疝修补术在腹股沟嵌顿疝成年患者中的应用研究  

Application of Laparoscopic Transabdominal Preperitoneal Prosthesis in Adult Patients with Inguinal Incarcerated Hernia

作　　者：高子辰 范登国 GAO Zichen;FAN Dengguo(Department of General Surgery I,Caoxian County people's Hospital,Heze 274400,Shandong,China)

机构地区：[1]曹县人民医院普外科一病区,山东菏泽274400

出　　处：《系统医学》2024年第12期115-118,共4页Systems Medicine

摘　　要：目的 分析腹股沟嵌顿疝(Inguinal Incarcerated Hernia,IIH)成年患者接受腹腔镜经腹腹膜前疝修补术(Transabdominal Preperitoneal Prosthesis,TAPP)的治疗效果。方法 非随机选取2020年6月—2023年5月曹县人民医院收治的IIH成年患者90例,据不同手术方式分为两组。对照组(45例)采用开放式无张力疝修补术(Tension-Free Hernioplasty,TFH),研究组(45例)采用TAPP治疗。比较两组术中出血量、首次排气时间、出院时间、术后不同时间点的视觉模拟评分法(Visual Analogue Scale,VAS)评分,以及术后并发症与复发情况。结果 研究组术中出血量少于对照组,首次排气时间、住院时间短于对照组,差异有统计学意义(P均<0.05)。术后,研究组VAS评分低于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率(2.22%)低于对照组(17.78%),差异有统计学意义(χ^(2)=4.444,P<0.05)。两组复发率对比,差异无统计学意义(P>0.05)。结论 相较于开放式TFH,IIH成年患者接受TAPP治疗可降低术中出血量,减少并发症风险,促进术后康复进程。Objective To analyze the effect of the treatment of adult patients with inguinal incarcerated hernia (IIH)by transabdominal preperitoneal prosthesis (TAPP).Methods A total of ninety adult patients with IIH admitted to Caoxian County People's Hospital from June 2020 to May 2023 were non-randomly selected and divided into two groups according to different surgical methods.The control group (45 cases) received tension-free hernioplasty (TFH) and the study group (45 cases) received TAPP.Intraoperative blood loss,first exhaust time,discharge time,visual analogue scale (VAS) scores at different time points after surgery,and postoperative complications and recurrence were compared between the two groups.Results The intraoperative blood loss of the study group was less than that of the control group,and the first exhaust time and hospital stay were shorter than that of the control group,the differences were statistically significant (P<0.05).After operation,VAS score of the study group was lower than that of the control group,and the difference was statistically significant (P<0.05).The complication rate of the study group (2.22%) was lower than that of the control group (17.78%),and the difference was statistically significant (X^(2)=4.444,P<0.05).There was no significant difference in recurrence rate between the two groups (P>0.05).Conclusion Compared with open TFH,TAPP treatment for adult patients with IIH can reduce intraoperative blood loss,reduce the risk of complications,and promote postoperative rehabilitation.

关 键 词：腹腔镜 经腹腹膜前疝修补术 腹股沟嵌顿疝 

分 类 号：R656[医药卫生—外科学]