改良完全腹膜外腹腔镜疝修补治疗腹股沟疝的临床效果分析  

Clinical eff ect analysis of improved totally extraperitoneal laparoscopic hernia repair in the treatment of inguinal hernia

作　　者：李启彪 李大为 Li Qibiao;Li Dawei(General Surgery Department of Wuxi Xishan People's Hospital Dongting Branch,Jiangsu Wuxi 214000,China)

机构地区：[1]无锡市锡山人民医院东亭分院普外科,江苏无锡214000

出　　处：《临床普外科电子杂志》2024年第2期57-61,共5页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的分析改良完全腹膜外腹腔镜疝修补术(totally extraperitoneal laparoscopic hernia repair,TEP)治疗腹股沟疝患者的临床效果。方法选取2018年1月至2023年5月无锡市锡山人民医院东亭分院收治的80例初发腹股沟疝男性患者,根据术式不同分为对照组(n=40,实施开放性无张力疝修补术)和观察组(n=40,实施改良TEP)。分析两组患者围手术期指标、精索静脉管径、精索静脉血流速度、并发症发生率以及诺丁汉健康量表(Nottingham health profile,NHP)评分。结果观察组患者的手术时间、住院时间、肛门排气时间均短于对照组,且术后并发症发生率低于对照组,差异均有显著性(P<0.05)。术前,两组患者的精索静脉管径、精索静脉血流速度无显著差异(P>0.05);术后2周,观察组患者的精索静脉管径小于对照组,精索静脉血流速度快于对照组,差异有显著性(P<0.05)。术前,两组患者的NHP评分无显著差异(P>0.05);术后2周,两组患者NHP各维度评分较手术前下降,但观察组明显低于对照组,差异有显著性(P<0.05)。结论改良TEP治疗腹股沟疝患者,治疗效果良好,精索静脉的损伤较小,且患者术后恢复较快。Objective Analyze the clinical effi cacy of totally extraperitoneal laparoscopic hernia repair(TEP)in the treatment of inguinal hernia patients.Method Eighty male patients with initial inguinal hernia admitted to the Dongting Branch of Xishan People's Hospital in Wuxi from January 2018 to May 2023 were selected and divided into a control group(n=40,who underwent open tension-free hernia repair surgery)and an observation group(n=40,who underwent modifi ed TEP)based on diff erent surgical procedures.Analyze perioperative indicators,spermatic vein diameter,spermatic vein blood flow velocity,incidence of complications,and Nottingham health profile(NHP)scores for two groups of patients.Result The surgical time,hospitalization time,and anal exhaust time of the observation group patients were shorter than those of the control group,and the incidence of postoperative complications was lower than that of the control group,with signifi cant diff erences(P<0.05).Before surgery,there was no signifi cant diff erence in the diameter and blood fl ow velocity of the spermatic vein between the two groups of patients(P>0.05);Two weeks after surgery,the diameter of the spermatic vein in the observation group was smaller than that in the control group,and the blood fl ow velocity of the spermatic vein was faster than that in the control group,with a signifi cant diff erence(P<0.05).Before surgery,there was no signifi cant diff erence in NHP scores between the two groups of patients(P>0.05);Two weeks after surgery,the NHP scores in all dimensions of the two groups of patients decreased compared to before surgery,but the observation group was signifi cantly lower than the control group,with a signifi cant diff erence(P<0.05).Conclusion The improved TEP treatment for inguinal hernia patients has shown good therapeutic eff ects,minimal damage to the spermatic vein,and faster postoperative recovery.

关 键 词：改良 完全腹膜外腹腔镜疝修补术 腹股沟疝 

分 类 号：R656.21[医药卫生—外科学]