腹腔镜完全腹膜外腹股沟疝修补术治疗腹股沟疝的效果(1)
[摘要]目的 探讨腹腔镜完全腹膜外(TEP)与开放经腹膜前间隙腹股沟疝无张力修补术治疗腹股沟疝的效果。方法 选取2016年1月～2018年12月我院收治的87例腹股沟疝患者作为研究对象，依照随机数字表法分为研究组(46例)和对照组(41例)。对照组实施开放经腹膜前间隙腹股沟疝无张力修补术，研究组实施腹腔镜TEP术。比较两组手术相关指标及术后并发症情况。结果 研究组手术时间为(68.40±8.05)min，住院时间为(4.20±0.75)d，下床活动时间为(14.35±4.10)h，均短于对照组的(98.50±5.85)min、(6.55±0.50)d、(18.35±4.50)h，差异有统计学意义(P<0.05);研究组术中出血量为(3.21±0.88)ml，少于对照组的(4.85±0.95)ml，差异有统计学意义(P<0.05);研究组术后并发症总发生率为4.35%，低于对照组的14.63%，差异有统计学意义(P<0.05)。结论 腹腔镜TEP术治疗腹股沟疝的效果优于开放经腹膜前间隙腹股沟疝无张力修补术，也利于术后患者康复。
[关键词]腹股沟疝;腹腔镜完全腹膜外修补术;开放经腹膜前间隙腹股沟疝无张力修补术
[中图分类号] R656.21 [文献标识码] A [文章编号] 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
腹股溝疝为普外科常见病，各年龄层次人群均可发病，对患者的正常生活、生活质量造成较严重影响[1-2]。目前临床采取手术治疗作为腹股沟疝的唯一治愈手段。以往传统腹股沟疝治疗方法为开放式无张力疝修补术，该手术的出血量高，手术时间长，且术后并发症发生率高，对患者的术后恢复不利，因此被限制临床推广应用[3]。随着近几年来临床医学技术进步，腹腔镜技术作为微创技术已被越来越广泛应用临床治疗各种疾病中，也包括腹股沟疝[4-5]。本研究探讨腹腔镜完全腹膜外(TEP)与开放经腹膜前间隙腹股沟疝无张力修补术治疗腹股沟疝的效果，现报道如下。, 百拇医药(钟东佳 袁阳春 罗育青)
[关键词]腹股沟疝;腹腔镜完全腹膜外修补术;开放经腹膜前间隙腹股沟疝无张力修补术
[中图分类号] R656.21 [文献标识码] A [文章编号] 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
腹股溝疝为普外科常见病，各年龄层次人群均可发病，对患者的正常生活、生活质量造成较严重影响[1-2]。目前临床采取手术治疗作为腹股沟疝的唯一治愈手段。以往传统腹股沟疝治疗方法为开放式无张力疝修补术，该手术的出血量高，手术时间长，且术后并发症发生率高，对患者的术后恢复不利，因此被限制临床推广应用[3]。随着近几年来临床医学技术进步，腹腔镜技术作为微创技术已被越来越广泛应用临床治疗各种疾病中，也包括腹股沟疝[4-5]。本研究探讨腹腔镜完全腹膜外(TEP)与开放经腹膜前间隙腹股沟疝无张力修补术治疗腹股沟疝的效果，现报道如下。, 百拇医药(钟东佳 袁阳春 罗育青)