平片疝修补术对腹股沟疝患者炎症因子及术后疼痛程度的影响  

Effect of Plain Film Hernia Repair on Inflammatory Factors and Postoperative Pain in Patients with Inguinal Hernia

作　　者：梁庆丰 王付增 孙广增[2] LIANG Qingfeng;WANG Fuzeng;SUN Guangzeng(Linzhou People's Hospital,Anyang Henan 456550)

机构地区：[1]河南省林州市人民医院,河南安阳456550 [2]安阳市人民医院,河南安阳455000

出　　处：《医学临床研究》2025年第3期390-393,共4页Journal of Clinical Research

摘　　要：【目的】探讨腹腔镜腹膜前疝修补术(TAPP)与Lichtenstein平片疝修补术对腹股沟疝患者炎症因子及术后疼痛程度的影响。【方法】回顾性分析2021年3月至2024年3月两院收治的76例腹股沟疝患者的临床资料,根据治疗方法不同将患者分为观察组和对照组,每组38例。对照组行Lichtenstein平片疝修补术,观察组行TAPP。比较两组患者围手术期指标、术后各时间段视觉模拟评分法(VAS)评分、血清炎症因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、C反应蛋白(CRP)水平],比较两组患者并发症发生情况。【结果】观察组手术时间、术后下床活动时间、术后进食时间、住院时间均短于对照组,住院费用高于对照组,差异有统计学意义(P<0.05)。两组患者术后3 d、7 d的VAS评分均低于同组术后1 d,术后7 d的VAS评分均低于同组术后3 d,差异有统计学意义(P<0.05);观察组术后3 d、7 d的VAS评分均低于对照组,差异有统计学意义(P<0.05)。术后,两组患者血清TNF-α、IL-6、CRP水平均高于同组术前,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组并发症总发生率低于对照组,差异有统计学意义(P<0.05)。【结论】与Lichtenstein平片疝修补术相比,TAPP治疗腹股沟疝患者术后恢复更快,疼痛程度更轻,并发症的发生率更低,安全性较高。【Objective】To investigate the effects of transabdominal preperitoneal inguinal hernia repair(TAPP)and Lichtenstein flat film hernia repair on inflammatory factors and postoperative pain in patients with inguinal hernia.【Methods】The clinical data of 76 patients with inguinal hernia admitted to our hospital from March 2021 to March 2024 were retrospectively analyzed,and the patients were divided into observation group and control group according to treatment methods,with 38 cases in each group.The control group received Lichtenstein plain film hernia repair,and the observation group received TAPP.Perioperative indexes,visual analogue scale(VAS)scores and serum inflammatory factors[tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),C-reactive protein(CRP)]were compared between the two groups.The incidence of complications was compared between the two groups.【Results】The time of operation,the time of getting out of bed,the time of eating and the time of hospitalization in the observation group were shorter than those in the control group,and the hospitalization cost was higher than that in the control group,the difference was statistically significant(P<0.05).The VAS scores of the two groups at 3 and 7 days after surgery were lower than those of the same group at 1 day after surgery,and the VAS scores at 7 days after surgery were lower than those of the same group at 3 days after surgery,the difference was statistically significant(P<0.05).The VAS scores of the observation group at 3 and 7 days after operation were lower than those of the control group,and the difference was statistically significant(P<0.05).After operation,the serum levels of TNF-α,IL-6 and CRP in the two groups were higher than before operation,and the observation group was lower than control group,with statistical significance(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).【Conclusion】Compared with Lichtenstein surgery,

关 键 词：疝 腹股沟 腹腔镜检查 炎症趋化因子类 疼痛 手术后 

分 类 号：R656.2[医药卫生—外科学]