梁正新 段晖 时佳骏

    【摘要】 目的：觀察经腹腔腹膜前修补术(TAPP)/全腹膜外修补术(TEP)术中应用改良透壁缝合法固定直疝“假性疝囊”预防术后血肿的效果。方法：选取铜鼓县人民医院2021年1月-2022年3月行TAPP/TEP手术的80例腹股沟直疝患者，用随机数字表法将其分为对照组与研究组，各40例。对照组术中用钉枪法关闭“假性疝囊”，研究组术中用改良透壁缝合法固定直疝“假性疝囊”。记录两组术后2个月内血肿发生情况、手术相关指标、围手术期相关并发症发生情况及术后6个月内疝复发率。结果：研究组术后2个月内血肿发生率较对照组低，差异有统计学意义(P0.05)。研究组围手术期相关并发症发生率较对照组低，差异有统计学意义(P0.05)。结论：改良透壁缝合法固定直疝“假性疝囊”可预防TAPP/TEP术后血肿发生，减轻术后疼痛程度，降低围手术期相关并发症发生率，减少医疗费用，利于患者康复。

    【关键词】 腹股沟直疝 腹腔腹膜前修补术 全腹膜外修补术 改良透壁缝合法 血肿

    [Abstract] Objective： To observe the effect of modified through wall suture to fix the "false hernia sac" of direct hernia in the operation of transabdominal preperitoneal approach (TAPP)/totally extraperitoneal approach (TEP) to prevent postoperative hematoma. Method： A total of 80 patients with direct inguinal hernia who underwent TAPP/TEP operation in Tonggu People's Hospital from January 2021 to March 2022 were selected and randomly divided into the control group and the study group with 40 cases in each group. In the control group ......