经腹腹膜前修补术在老年腹股沟疝患者中的应用价值探讨  

Discussion on the Application Value of Transabdominal Preperitoneal in Elderly Patients with Inguinal Hernia

作　　者：卢琦 王浩 王伟涛 LU Qi;WANG Hao;WANG Weitao(Department of Gastrointestinal Surgery,Yantai Laiyang Central Hospital,Yantai 265200,Shandong,China;Department of Gastrointestinal Surgery,Yantaishan Hospital of Yantai City,Yantai 264003,Shandong,China)

机构地区：[1]烟台市莱阳中心医院胃肠外科,山东烟台265200 [2]烟台市烟台山医院胃肠外科,山东烟台264003

出　　处：《系统医学》2024年第18期117-120,共4页Systems Medicine

摘　　要：目的探讨腹腔镜经腹腹膜前疝修补术(transabdominal preperitoneal,TAPP)在老年腹股沟疝患者中的应用价值。方法回顾性选取2021年6月—2023年6月烟台市莱阳中心医院收治的100例腹股沟疝患者的临床资料,按时手术方法不同分为TAPP组和开放组,各50例。开放组采用传统开放无张力疝修补术,TAPP组采用TAPP。分析两组患者手术指标、术后24 h与术后48 h疼痛情况、术后并发症发生情况、生存质量。结果TAPP组手术时间比开放组长,术中出血量、首次下床活动时间、住院时间均优于开放组,差异有统计学意义(P均<0.05);TAPP组术后24 h、48 h疼痛评分为(3.51±0.36)分、(2.06±0.41)分,均低于开放组的(5.97±0.67)分、(3.75±0.55)分,差异有统计学意义(t=22.870、17.420,P均<0.05);TAPP组患者术后并发症发生率2.00%(1/50),低于开放组的16.00%(8/50),差异有统计学意义(χ^(2)=4.396,P<0.05);TAPP组术后生活质量评分高于开放组,差异有统计学意义(P<0.05)。结论TAPP应用于老年腹股沟疝患者中有助于促进术后恢复,缓解患者疼痛且提升生活质量,降低术后并发症的发生率。Objective To explore the application value of laparoscopic transabdominal preperitoneal(TAPP)in elderly patients with inguinal hernia.Methods The clinical data of one hundred patients with inguinal hernia admitted to Laiyang Central Hospital of Yantai City from June 2021 to June 2023 were retrospectively selected.The patients were divided into TAPP group and open group according to different surgical methods,fifty cases in each group.The open group was treated with traditional open tension-free hernia repair,and the TAPP group was treated with TAPP.The surgical indexes,pain at 24 h and 48 h after operation,postoperative complications and quality of life of the two groups were analyzed.Results In the TAPP group,the operation time was longer than open group,the intraoperative blood loss,the first time to get out of bed,and the hospitalization time of the TAPP group were better than those of the open group,the differences were statistically significant(all P<0.05).In the TAPP group,the pain scores at 24 h and 48 h after operation were 3.51±0.36 and 2.06±0.41,which were lower than 5.97±0.67 and 3.75±0.55 in the open group,and the differences were statistically significant(t=22.870,17.420,both P<0.05).In the TAPP group,the incidence of postoperative complications was 2.00%(1/50)lower than 16.00%(8/50)in the open group,and the difference was statistically significant(χ^(2)=4.396,P<0.05).In the TAPP group,the postoperative quality of life score was higher than that of the open group,and the difference was statistically significant(P<0.05).Conclusion The application of in elderly patients with inguinal hernia helps to promote postoperative recovery,relieve pain and improve quality of life,and reduce the incidence of postoperative complications.

关 键 词：腹股沟疝 经腹腹膜前疝修补术 并发症 生存质量 

分 类 号：R4[医药卫生—临床医学]