腹腔镜TAPP手术治疗腹股沟疝的效果及对患者术后疼痛、应激指标、围术期指标和并发症的影响  

Effects of Laparoscopic Transabdominal Preperitoneal Repair(TAPP)Surgery on Patients with Inguinal Hernia and Its Impact on Postoperative Pain,Stress Indicators,Perioperative Metrics,and Complications

作　　者：赵阳亮 王银中[2] ZHAO Yangliang;WANG Yinzhong(Department of General Surgery,Second People’s Hospital of Jiaozuo,Jiaozuo Henan 454000,China;District 1,General Surgery,Second People’s Hospital of Jiaozuo,Jiaozuo Henan 454000,China)

机构地区：[1]焦作第二人民医院普外科,河南焦作454000 [2]焦作市第二人民医院普外1区,河南焦作454000

出　　处：《临床研究》2025年第5期82-85,共4页Clinical Research

摘　　要：目的观察腹腔镜经腹膜前疝修补术(TAPP)治疗腹股沟疝患者中的效果,并分析其对患者术后疼痛、应激指标、围术期指标和并发症的影响。方法选取2022年1月至2024年10月焦作第二人民医院收治的100例腹股沟疝患者,按照随机数表法分为对照组和观察组,各50例。对照组患者接受常规腹股沟疝无张力修补术治疗,观察组患者接受TAPP治疗。比较两组患者疼痛评分、应激指标、围术期指标和并发症发生情况。结果两组患者术后视觉模拟评分法(VAS)评分均呈降低趋势,且观察组均低于对照组,差异有统计学意义(P<0.05)。术后,两组患者超氧化物歧化酶(SOD)、丙二醛(MDA)、谷胱甘肽过氧化物酶(GSH-Px)高于术前,但观察组低于对照组,差异有统计学意义(P<0.05)。观察组患者术后并发症发生率低于对照组,差异有统计学意义(P<0.05)。观察组患者手术操作用时、术后恢复进食时间、术后下床时间和住院时间短于对照组,术中出血量少于对照组,差异有统计学意义(P<0.05)。结论与常规腹股沟疝无张力修补术比较,TAPP治疗腹股沟疝患者的手术效果更优,能够有效减轻患者术后疼痛和应激反应,降低并发症的发生风险。Objective To observe the effects of laparoscopic transabdominal preperitoneal hernia repair(TAPP)on patients with inguinal hernia and analyze its impact on postoperative pain,stress indicators,perioperative metrics,and complications.Methods A total of 100 patients with inguinal hernia treated at the Second People’s Hospital of Jiaozuo from January 2022 to October 2024 were selected and randomly divided into a control group and an observation group,with 50 patients in each group.The control group underwent conventional tension-free inguinal hernia repair,while the observation group underwent TAPP surgery.Pain scores,stress indicators,perioperative metrics,and incidence of complications were compared between the two groups.Results Postoperatively,both groups showed a decreasing trend in visual analog scale(VAS)scores,with the observation group having significantly lower scores than the control group(P<0.05).After surgery,the levels of superoxide dismutase(SOD),malondialdehyde(MDA),and glutathione peroxidase(GSH-Px)in both groups increased compared to pre-surgery,but the observation group had lower levels than the control group,also with statistical significance(P<0.05).The incidence of complications in the observation group was lower than that in the control group,with a statistically significant difference(P<0.05).Additionally,the observation group had shorter surgical operation time,shorter time to resume eating postoperatively,shorter time to ambulate,and shorter hospital stay compared to the control group,as well as less intraoperative blood loss,with statistically significant differences(P<0.05).Conclusion Compared to conventional tension-free inguinal hernia repair,TAPP surgery for inguinal hernia patients offers superior surgical outcomes,effectively reducing postoperative pain and stress response while lowering the risk of complications.

关 键 词：腹腔镜 经腹膜前疝修补术 腹股沟疝 疼痛 应激指标 并发症 

分 类 号：R656.21[医药卫生—外科学]