分析腹腔镜经腹腔腹膜前疝修补术与完全腹膜外疝修补术在老年腹股沟疝患者临床效果  

Analysis of the Clinical Effects of Laparoscopic Transabdominal Preperitoneal Hernia Repair and Complete Extraperitoneal Hernia Repair in Elderly Patients with Inguinal Hernia

作　　者：韩丁 姚利民 王跃忠 HAN Ding;YAO Li-min;WANG Yue-zhong(Department of Surgery,Kunshan Mental Health Center,Jiangsu Province,Jiangsu Suzhou 215311)

机构地区：[1]江苏省昆山市精神卫生中心外科,江苏苏州215311

出　　处：《中国医疗器械信息》2024年第22期150-152,共3页China Medical Device Information

摘　　要：目的:探讨老年腹股沟疝患者采取腹腔镜经腹腔腹膜前疝修补术(transabdominal preperitoneal,TAPP)与完全腹膜外疝修补术(totally extraperitoneal,TEP)治疗的效果差异。方法:将70例老年腹股沟疝患者,以随机数表法均分为对照组35例,应用腹腔镜经腹腔腹膜前疝修补术,研究组35例应用完全腹膜外疝修补术。对比两种手术的效果差异。结果:两组手术指标除术中失血量外其他与对照组比较有显著差异(P<0.05)。且研究组术后TNF-α、IL-6、hs-CRP指标与对照组比较水平较低(P<0.05)。研究组并发症发生率(2.86%)及复发率(0)与对照组(11.43%、2.86%)相比无显著差异(P>0.05)。结论:与腹腔镜经腹腔腹膜前疝修补术相比,完全腹膜外疝修补术在老年腹股沟疝患者中应用能够减轻术后微炎症反应,促进患者更快地康复,并且降低住院费用。Objective:To explore the difference in therapeutic effects between laparoscopic transabdominal preperitoneal hernia repair and complete extraperitoneal hernia repair in elderly patients with inguinal hernia.Methods:70 elderly patients with inguinal hernia were randomly divided into a control group of 35 cases who underwent laparoscopic anterior peritoneal hernia repair,and a study group of 35 cases who underwent complete extraperitoneal hernia repair using a random number table method.Compare the differences in effectiveness between the two surgeries.Results:There was a significant differencein the surgical indicators between the two groups compared to the control group,except for intraoperative blood loss(P<0.05).And the research group’s postoperative TNF-α,the levels of IL-6 and hs CRP indicators were lower compared to the control group(P<0.05).There was no significant difference in the incidence of complications(2.86%)and recurrence rate(0)between the study group and the control group(11.43%,2.86%)(P>0.05).Conclusion:Compared with laparoscopic transabdominal preperitoneal hernia repair,complete extraperitoneal hernia repair can reduce postoperative micro inflammatory reactions,promote faster recovery,and reduce hospitalization costs in elderly patients with inguinal hernia.

关 键 词：腹腔镜经腹腔腹膜前疝修补术(TAPP) 腹股沟疝 完全腹膜外疝修补术(TEP) 微炎症 复发 

分 类 号：R656.21[医药卫生—外科学]