腹腔鏡完全腹膜外腹股溝疝修補術治療腹股溝疝的效果(1)
[摘要]目的 探討腹腔鏡完全腹膜外(TEP)與開放經(jīng)腹膜前間隙腹股溝疝無張力修補術治療腹股溝疝的效果。方法 選取2016年1月～2018年12月我院收治的87例腹股溝疝患者作為研究對象，依照隨機數(shù)字表法分為研究組(46例)和對照組(41例)。對照組實施開放經(jīng)腹膜前間隙腹股溝疝無張力修補術，研究組實施腹腔鏡TEP術。比較兩組手術相關指標及術后并發(fā)癥情況。結果 研究組手術時間為(68.40±8.05)min，住院時間為(4.20±0.75)d，下床活動時間為(14.35±4.10)h，均短于對照組的(98.50±5.85)min、(6.55±0.50)d、(18.35±4.50)h，差異有統(tǒng)計學意義(P<0.05);研究組術中出血量為(3.21±0.88)ml，少于對照組的(4.85±0.95)ml，差異有統(tǒng)計學意義(P<0.05);研究組術后并發(fā)癥總發(fā)生率為4.35%，低于對照組的14.63%，差異有統(tǒng)計學意義(P<0.05)。結論 腹腔鏡TEP術治療腹股溝疝的效果優(yōu)于開放經(jīng)腹膜前間隙腹股溝疝無張力修補術，也利于術后患者康復。
[關鍵詞]腹股溝疝;腹腔鏡完全腹膜外修補術;開放經(jīng)腹膜前間隙腹股溝疝無張力修補術
[中圖分類號] R656.21 [文獻標識碼] A [文章編號] 1674-4721(2020)1(c)-0071-03
[Abstract] Objective To compare the effect of laparoscopic total extraperitoneal prosthetic(TEP) and open tension-free repair of inguinal hernia in the treatment of inguinal hernia. Methods From January 2016 to December 2018， 87 patients with inguinal hernia treated in our hospital were selected and divided into study group (46 cases) and control group (41 cases) according to random number table method. Open tension-free repair of inguinal hernia was performed in the control group and laparoscopic TEP was performed in the study group. The related indexes and postoperative complications of the two groups were compared. Results The operation time of the patients in the study group was (68.40±8.05) min， hospital stay was (4.20±0.75) d; and the time of getting out of bed was (14.35±4.10) h， which was shorter than that of the control group for (98.50±5.85) min， (6.55±0.50) d， (18.35±4.50) h， the differences were statistically significant (P<0.05). The intraoperative blood loss in the study group was (3.21±0.88) ml， which was lower than that in the control group (4.85±0.95) ml， the difference was statistically significant (P<0.05). The incidence of postoperative complications in the study group was 4.35%， which was lower than that in the control group (14.63%)， the difference was statistically significant (P<0.05). Conclusion The effect of laparoscopic TEP in the treatment of inguinal hernia is better than that of tension-free repair of inguinal hernia through preperitoneal space， and is more beneficial to postoperative rehabilitation.
[Key words] Inguinal hernia; Laparoscopic total extraperitoneal prosthetic; Tension-free repair of inguinal hernia open through the preperitoneal space
腹股溝疝為普外科常見病，各年齡層次人群均可發(fā)病，對患者的正常生活、生活質量造成較嚴重影響[1-2]。目前臨床采取手術治療作為腹股溝疝的唯一治愈手段。以往傳統(tǒng)腹股溝疝治療方法為開放式無張力疝修補術，該手術的出血量高，手術時間長，且術后并發(fā)癥發(fā)生率高，對患者的術后恢復不利，因此被限制臨床推廣應用[3]。隨著近幾年來臨床醫(yī)學技術進步，腹腔鏡技術作為微創(chuàng)技術已被越來越廣泛應用臨床治療各種疾病中，也包括腹股溝疝[4-5]。本研究探討腹腔鏡完全腹膜外(TEP)與開放經(jīng)腹膜前間隙腹股溝疝無張力修補術治療腹股溝疝的效果，現(xiàn)報道如下。, 百拇醫(yī)藥(鐘東佳 袁陽春 羅育青)
[關鍵詞]腹股溝疝;腹腔鏡完全腹膜外修補術;開放經(jīng)腹膜前間隙腹股溝疝無張力修補術
[中圖分類號] R656.21 [文獻標識碼] A [文章編號] 1674-4721(2020)1(c)-0071-03
[Abstract] Objective To compare the effect of laparoscopic total extraperitoneal prosthetic(TEP) and open tension-free repair of inguinal hernia in the treatment of inguinal hernia. Methods From January 2016 to December 2018， 87 patients with inguinal hernia treated in our hospital were selected and divided into study group (46 cases) and control group (41 cases) according to random number table method. Open tension-free repair of inguinal hernia was performed in the control group and laparoscopic TEP was performed in the study group. The related indexes and postoperative complications of the two groups were compared. Results The operation time of the patients in the study group was (68.40±8.05) min， hospital stay was (4.20±0.75) d; and the time of getting out of bed was (14.35±4.10) h， which was shorter than that of the control group for (98.50±5.85) min， (6.55±0.50) d， (18.35±4.50) h， the differences were statistically significant (P<0.05). The intraoperative blood loss in the study group was (3.21±0.88) ml， which was lower than that in the control group (4.85±0.95) ml， the difference was statistically significant (P<0.05). The incidence of postoperative complications in the study group was 4.35%， which was lower than that in the control group (14.63%)， the difference was statistically significant (P<0.05). Conclusion The effect of laparoscopic TEP in the treatment of inguinal hernia is better than that of tension-free repair of inguinal hernia through preperitoneal space， and is more beneficial to postoperative rehabilitation.
[Key words] Inguinal hernia; Laparoscopic total extraperitoneal prosthetic; Tension-free repair of inguinal hernia open through the preperitoneal space
腹股溝疝為普外科常見病，各年齡層次人群均可發(fā)病，對患者的正常生活、生活質量造成較嚴重影響[1-2]。目前臨床采取手術治療作為腹股溝疝的唯一治愈手段。以往傳統(tǒng)腹股溝疝治療方法為開放式無張力疝修補術，該手術的出血量高，手術時間長，且術后并發(fā)癥發(fā)生率高，對患者的術后恢復不利，因此被限制臨床推廣應用[3]。隨著近幾年來臨床醫(yī)學技術進步，腹腔鏡技術作為微創(chuàng)技術已被越來越廣泛應用臨床治療各種疾病中，也包括腹股溝疝[4-5]。本研究探討腹腔鏡完全腹膜外(TEP)與開放經(jīng)腹膜前間隙腹股溝疝無張力修補術治療腹股溝疝的效果，現(xiàn)報道如下。, 百拇醫(yī)藥(鐘東佳 袁陽春 羅育青)