[1]周贤伟.腹腔镜下完全腹膜外疝修补术治疗成人腹股沟疝的效果[J].医学信息,2021,34(14):130-132.[doi:10.3969/j.issn.1006-1959.2021.14.035]
　ZHOU Xian-wei.The Effect of Laparoscopic Total Extraperitoneal Hernia Repair in the Treatment of Adult Inguinal Hernia[J].Medical Information,2021,34(14):130-132.[doi:10.3969/j.issn.1006-1959.2021.14.035]
点击复制

腹腔镜下完全腹膜外疝修补术治疗成人腹股沟疝的效果()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年14期
页码:
130-132
栏目:
临床研究
出版日期:
2021-07-15

文章信息/Info

Title:
The Effect of Laparoscopic Total Extraperitoneal Hernia Repair in the Treatment of Adult Inguinal Hernia
文章编号:
1006-1959（2021）14-0130-03
作者:
周贤伟
（都昌县人民医院普外胸外科，江西 都昌 332600）
Author(s):
ZHOU Xian-wei
(Department of General Thoracic Surgery,Duchang County People’s Hospital,Duchang 332600,Jiangxi,China)
关键词:
完全腹膜外疝修补术; 腹股沟疝; 肛门排气时间
Keywords:
Total extraperitoneal hernia repair; Inguinal hernia; Anal exhaust time
分类号:
R656.21
DOI:
10.3969/j.issn.1006-1959.2021.14.035
文献标志码:
A
摘要:
目的 研究腹腔镜下完全腹膜外疝修补术治疗成人腹股沟疝的临床疗效。方法 选取2019年4月~2020年4月我院治疗的74例成人腹股沟疝患者为研究对象，采用随机数字表法分为对照组和观察组，各37例。对照组采用开放填充式无张力疝修补术，观察组采用腹腔镜下完全腹膜外疝修补术治疗，比较两组手术指标、VAS评分、并发症发生率以及复发率。结果 观察组手术时间、术中出血量、术后肛门排气时间、下床活动时间、住院时间均小于对照组，差异有统计学意义（P＜0.05）；观察组术后VAS评分低于对照组，差异有统计学意义（P＜0.05）；观察组生活质量各维度评分均高于对照组，差异有统计学意义（P＜0.05）；观察组并发症发生率为8.11%，低于对照组的16.21%，差异有统计学意义（P＜0.05）；随访6个月，观察组复发率为5.41%，与对照组的8.11%，差异无统计学意义（P＞0.05）。结论 腹腔镜下完全腹膜外疝修补术治疗成人腹股沟疝效果理想，具有手术时间短、术中出血量少、住院时间短的优势，且可有效降低患者疼痛程度，促进术后恢复，提高生活质量，降低并发症发生率及复发率，具有良好的远期效果。
Abstract:
Objective To study the clinical effect of laparoscopic total extraperitoneal hernia repair in the treatment of adult inguinal hernia.Methods A total of 74 adult inguinal hernia patients treated in our hospital from April 2019 to April 2020 were selected as the research objects. They were divided into control group and observation group by random number table method, with 37 cases in each group.The control group was treated with open-filled tension-free hernia repair, and the observation group was treated with laparoscopic complete extraperitoneal hernia repair.The operation indexes, VAS score, complication rate and recurrence rate of the two groups were compared.Results The operation time, intraoperative blood loss, postoperative anus exhaust time, time to get out of bed, and hospital stay in the observation group were less than those in the control group, the difference was statistically significant (P<0.05);The postoperative VAS score of the observation group was lower than that of the control group,the difference was statistically significant (P＜0.05);The scores of all dimensions of the quality of life of the observation group were higher than those of the control group,the difference was statistically significant (P＜0.05);The complication rate in the observation group was 8.11%, which was lower than 16.21% in the control group,the difference was statistically significant(P＜0.05);Follow up for 6 months,the recurrence rate in the observation group was 5.41%, which was not statistically different from 8.11% in the control group(P>0.05).Conclusion Laparoscopic total extraperitoneal hernia repair is effective in the treatment of adult inguinal hernia.It has the advantages of short operation time, less intraoperative blood loss, and short hospital stay. It can effectively reduce the pain of patients, promote postoperative recovery, improve the quality of life, reduce the incidence of complications and recurrence, and has a good long-term effect.

参考文献/References:

[1]钟文毅.基层医院腹腔镜全腹膜外疝修补术治疗腹股沟疝的临床体会[J].岭南现代临床外科,2014,14(3):323-325. [2]柳阳,沈方敏,钟云,等.腹腔镜下完全腹膜外疝修补术22例分析[J].浙江临床医学,2014,16(4):613-614. [3]陈骞.腹腔镜疝修补术与开放式无张力疝修补术治疗成人腹股沟疝的临床效果分析[J].基层医学论坛,2019,23(28):4032-4033. [4]李承良,李青,刘庆国.腹腔镜疝修补术和无张力疝修补术治疗成人腹股沟疝的临床效果观察[J].当代医学,2019,25(26):23-25. [5]朱丽丹,汪宏,卢寅,等.双镜TEP的临床疗效及应用价值[J].中华疝和腹壁外科杂志(电子版),2016,10(5):372-373. [6]迟晓林.不同术式疝修补术治疗成人腹股沟疝的临床疗效观察[J].中国实用医药,2019,14(23):69-70. [7]谭敏.腹腔镜下无张力疝修补术治疗成人疝气的临床效果观察[J].临床合理用药杂志,2019,12(20):129-130. [8]理建华.腹腔镜完全腹膜外疝修补术与开放无张力疝修补术治疗成人腹股沟疝效果观察[J].河南外科学杂志,2019,25(4):108-109. [9]Saber A,Hokkam EN,Ellabban GM.Laparoscopic transabdominalpreperitoneal approach for recurrent inguinal hernia:A randomizedtrial[J].Journal of Minimal Access Surgery,2015,11(2):123. [10]孙刚,赵英男,李冬,等.腹股沟疝传统疝修补术、平片及疝环填充无张力疝修补术的临床研究[J].临床军医杂志,2015,43(4):348-350. [11]彭永红,喻学桥,袁波,等.改良腹腔镜下完全腹膜外疝修补术实施的可行性及有效性评价[J].中华疝和腹壁外科杂志(电子版),2015,9(6):42-44. [12]Siddiqui MRS,Kovzel M,Brennan SJ,et al.The role of the laparoendoscopicsingle site totally extraperitoneal approach to inguinalhernia repairs:a review and meta-analysis of the literature[J].Canadian Journal of Surgery,2014,57(2):116-126. [13]卢冠坤,余智涛,高鹏.腹腔镜下腹股沟疝修补术治疗成人腹股沟疝的疗效及并发症[J].齐齐哈尔医学院学报,2016,37(29):3650-3651. [14]刘颜良,曹钧,张杨,等.腹腔镜下完全腹膜外疝修补术75例[J].中国微创外科杂志,2016(11):1002-1005. [15]Yang XF,Liu JL.Laparoscopic repair of inguinal hernia in adults[J].Annals of Translational Medicine,2016,4(20):402. [16]陈双军.比较腹腔镜经腹腹膜前疝修补术与开放无张力疝修补术治疗成人腹股沟斜疝的效果[J].河南外科学杂志,2019,25(5):98-99. [17]叶超荣.腹腔镜经腹腹膜前疝修补术与完全腹膜外疝修补术治疗双侧腹股沟疝疗效及对术后远期复发率影响分析[J].中国现代药物应用,2020,14(19):74-76.

相似文献/References:

[1]刘月红.精细化围术期护理对腹股沟疝日间手术患儿的积极作用及其对并发症的影响[J].医学信息,2022,35(09):181.[doi:10.3969/j.issn.1006-1959.2022.09.047]
　LIU Yue-hong.Positive Effect of Meticulous Perioperative Nursing on Children Undergoing Day Surgery for Inguinal Hernia and its Effect on Complications[J].Medical Information,2022,35(14):181.[doi:10.3969/j.issn.1006-1959.2022.09.047]
[2]张 帆.无张力修补术与腹腔镜下腹膜前修补术治疗 腹股沟疝的效果比较[J].医学信息,2019,32(17):109.[doi:10.3969/j.issn.1006-1959.2019.17.035]
　ZHANG Fan.Comparison of Tension-free Repair and Laparoscopic Preperitoneal Repair for Inguinal Hernia[J].Medical Information,2019,32(14):109.[doi:10.3969/j.issn.1006-1959.2019.17.035]
[3]付艳伟,张 睿.腹腔镜下全腹膜外与经正中线切口腹膜前腹股沟疝修补术的疗效比较[J].医学信息,2020,33(24):119.[doi:10.3969/j.issn.1006-1959.2020.24.033]
　FU Yan-wei,ZHANG Rui.Comparison of the Curative Effect of Laparoscopic Total Extraperitoneal and Preperitoneal Inguinal Hernia Repair Through Midline Incision[J].Medical Information,2020,33(14):119.[doi:10.3969/j.issn.1006-1959.2020.24.033]
[4]王东君.血清T-AOC、GH表达对疝环充填式无张力疝修补术治疗青年腹股沟疝的预后影响[J].医学信息,2021,34(07):99.[doi:10.3969/j.issn.1006-1959.2021.07.027]
　WANG Dong-jun.The Influence of Serum T-AOC and GH Expression on the Prognosis of Inguinal Hernia in Young Patients Treated with Hernia Ring Plug Tension-free Hernia Repair[J].Medical Information,2021,34(14):99.[doi:10.3969/j.issn.1006-1959.2021.07.027]
[5]汪 煜,胡明玉.三种腹股沟疝手术的临床疗效及短期并发症比较[J].医学信息,2021,34(12):111.[doi:10.3969/j.issn.1006-1959.2021.12.028]
　WANG Yu,HU Ming-yu.Comparison of Clinical Curative Effect and Short-term Complications of Three Kinds of Inguinal Hernia Surgery[J].Medical Information,2021,34(14):111.[doi:10.3969/j.issn.1006-1959.2021.12.028]
[6]徐晓华.责任制护理在腹股沟疝手术室护理中的应用及对患者QOL评分的影响[J].医学信息,2021,34(23):187.[doi:10.3969/j.issn.1006-1959.2021.23.057]
　XU Xiao-hua.Application of Responsibility Nursing in Inguinal Hernia Operation Room Nursing and its Effect on QOL Score[J].Medical Information,2021,34(14):187.[doi:10.3969/j.issn.1006-1959.2021.23.057]
[7]游凰菊.快速康复外科护理在腹股沟疝行腹腔镜完全腹膜外补片植入术患者中的应用效果[J].医学信息,2022,35(08):181.[doi:10.3969/j.issn.1006-1959.2022.08.048]
　YOU Huang-ju.The Application Effect of Rapid Rehabilitation Surgical Nursing in Patients with Inguinal Hernia Undergoing Laparoscopic Total Extraperitoneal Patch Implantation[J].Medical Information,2022,35(14):181.[doi:10.3969/j.issn.1006-1959.2022.08.048]
[8]储 君,黄景昊,杨 剑,等.腹腔镜下经腹腔腹膜前疝修补术与开放手术对腹股沟疝患者术后疼痛、切口满意度的影响[J].医学信息,2023,36(18):132.[doi:10.3969/j.issn.1006-1959.2023.18.025]
　CHU Jun,HUANG Jing-hao,YANG Jian,et al.Effects of Transabdominal Preperitoneal Prosthesis and Open Surgery on Postoperative Pain and Incision Satisfaction in Patients with Inguinal Hernia[J].Medical Information,2023,36(14):132.[doi:10.3969/j.issn.1006-1959.2023.18.025]

更新日期/Last Update: 1900-01-01