[1]罗小才,曾印华,涂飞印,等.改良逆向穿刺中侧位布孔腹腔镜下完全腹膜外疝补片修补术治疗成人腹股沟疝的临床应用[J].医学信息,2022,35(17):79-81.[doi:10.3969/j.issn.1006-1959.2022.17.020]
　LUO Xiao-cai,ZENG Yin-hua,TU Fei-yin,et al.Clinical Application of Modified Reverse Puncture in Lateral Hole Laparoscopic Total Extraperitoneal Hernia Patch Repair in the Treatment of Adult Inguinal Hernia[J].Journal of Medical Information,2022,35(17):79-81.[doi:10.3969/j.issn.1006-1959.2022.17.020]
点击复制

改良逆向穿刺中侧位布孔腹腔镜下完全腹膜外疝补片修补术治疗成人腹股沟疝的临床应用()
分享到：

医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年17期
页码:
79-81
栏目:
论著
出版日期:
2022-09-01

文章信息/Info

Title:
Clinical Application of Modified Reverse Puncture in Lateral Hole Laparoscopic Total Extraperitoneal Hernia Patch Repair in the Treatment of Adult Inguinal Hernia
文章编号:
1006-1959（2022）17-0079-03
作者:
罗小才; 曾印华; 涂飞印; 等
（南丰县人民医院普外科，江西 南丰 344500）
Author(s):
LUO Xiao-cai; ZENG Yin-hua; TU Fei-yin; et al.
(Department of General Surgery,Nanfeng County People’s Hospital,Nanfeng 344500,Jiangxi,China)
关键词:
成人腹股沟疝; 腹腔镜下完全腹膜外疝补片修补术; 无张力疝修补手术
Keywords:
Adult inguinal hernia; Laparoscopic complete extraperitoneal hernia patch repair; Tension-free hernia repair
分类号:
R656.2+1
DOI:
10.3969/j.issn.1006-1959.2022.17.020
文献标志码:
A
摘要:
目的 探讨改良逆向穿刺中侧位布孔腹腔镜下完全腹膜外疝补片修补术（TEP）对成人腹股沟疝治疗的临床应用效果，从而为临床采用此种治疗方式提供理论基础。方法 选取2020年1月-2021年4月在我院普外科住院诊治的60例腹股沟疝患者为研究对象，根据手术方法分为对照组和观察组，每组30例。对照组采用传统无张力疝修补术，观察组采用改良逆向穿刺中的侧位布孔腹腔镜下完全腹膜外疝补片修补术。比较两组术后的切缝长度、手术时间、术中出血量、住院时间、术后疼痛情况、术后并发症发生率和复发率。结果 观察组切缝长度、手术时间、术中出血量以及住院时间均小于对照组（P＜0.05）；观察组术后2天、1个月和3个月的VAS评分均小于对照组（P＜0.05）；观察组术后并发症发生率和复发率均低于对照组（P＜0.05）。结论 通过改良的逆向穿刺中侧位布孔腹腔镜下完全腹膜外疝补片修补术处理，成人腹股沟疝能够缩短术后的切缝长度、手术中出血量、住院治疗持续时间及其术后疼痛情况，且该种手术治疗方式安全可靠而且预后良好的处理方式，具有一定的临床价值。
Abstract:
Objective To explore the clinical application effect of modified reverse puncture and lateral hole laparoscopic total extraperitoneal hernia patch repair ( TEP ) in the treatment of adult inguinal hernia, so as to provide theoretical basis for clinical application of this treatment.Methods A total of 60 patients with inguinal hernia who were hospitalized in the general surgery department of our hospital from January 2020 to April 2021 were selected as the study subjects. According to the surgical methods, they were divided into control group and observation group, with 30 cases in each group. The control group was treated with traditional tension-free hernia repair, and the observation group was treated with modified reverse puncture in the lateral hole laparoscopic total extraperitoneal hernia repair. The length of incision, operation time, intraoperative blood loss, hospitalization time, postoperative pain, postoperative complication rate and recurrence rate were compared between the two groups.Results The length of incision, operation time, intraoperative blood loss and hospitalization time in the observation group were less than those in the control group(P<0.05). The VAS scores of the observation group at 2 days, 1 month and 3 months after operation were lower than those of the control group (P<0.05). The incidence of postoperative complications and recurrence rate in the observation group were lower than those in the control group (P<0.05).Conclusion Through the improved reverse puncture in the lateral hole laparoscopic totally extraperitoneal hernia patch repair treatment, adult inguinal hernia can shorten the postoperative incision length, intraoperative blood loss, hospitalization duration and postoperative pain, and this kind of surgical treatment is safe and reliable and the prognosis is good, has a certain clinical value.

参考文献/References:

[1]卢业才,李启信,林瑶瑁,等.成人嵌顿性腹股沟疝的个体化治疗:附130例临床分析[J].中国普通外科杂志,2016,25(10):1475-1479.[2]李富生,徐贵贤,陈荣裕.腹腔镜完全腹膜外疝修补术治疗腹股沟疝时不同补片固定方式的效果[J].深圳中西医结合杂志,2021,31(11):158-160.[3]唐健雄.成人腹股沟疝诊疗指南(2018年版)解读[J].临床外科杂志,2019,27(1):14-17.[4]Hofmann SC,Plett M,Jansen S,et al.Titanium hypersensitivity causing painful intra-abdominal oedema after staple-fixed inguinal hernia repair[J].Contact Dermatitis,2018,79(1):85-90.[5]王琪,黄鹤光,陈燕昌,等.腹腔镜经腹腔腹膜前修补术和经内环入路Kugel手术治疗腹股沟疝疗效比较研究[J].中国实用外科杂志,2017,37(11):1258-1261.[6]吕志强,沈根海,戴玮,等.腹腔镜下完全腹膜外疝修补术治疗成人腹股沟疝:单中心1021例报道[J].临床外科杂志,2020,28(7):666-667.[7]沈晓军,刘刚,孙克康,等.逆向穿刺法在腹腔镜完全腹膜外疝修补术中的应用[J].腹部外科,2018,31(2):123-125.[8]邓玉江,孙华新,常军,等.腹腔镜微创技术进行疝修补术的临床效果研究[J].湖南师范大学学报(医学版),2017,14(6):67-70.[9]Cavalli M,Biondi A,Bruni PG,et al.Giant inguinal hernia: the challenging hug technique[J].Hernia,2015,19(5):775-783.[10]Miyake H,Fukumoto K,Yamoto M,et al.Risk factors for recur- rence and contralateral inguinal hernia after laparoscopic percuta- neous extraperitoneal closure for pediatric inguinal hernia[J].J Pediatr Surg,2017,52(2):317-321.[11]蒋会勇,吴卫东,马锐,等.腹腔镜完全腹膜外补片修补切口疝3例[J].临床军医杂志,2018,46(2):239-240.[12]刘丰,沈晓军,杨栋.逆向穿刺法在腹腔镜全腹膜外疝修补术中的应用[J].中华普通外科杂志,2019,34(2):161-162.[13]赵攀,赵平武,王德良,等.经皮内环补片单点固定法全腹膜外腹腔镜腹股沟疝修补术临床应用研究[J].腹腔镜外科杂志,2019,24(10):746-749.[14]谢健,方忠荣,黄楚忠,等.腹腔镜全腹膜外腹股沟疝修补术在成人腹股沟疝中的应用价值分析[J].现代诊断与治疗,2019,30(16):2835-2836.[15]张亮,张晋体.腹腔镜下完全腹膜外修补腹股沟疝41例体会[J].基层医学论坛,2016,20(27):3716-3763.[16]任少勋,党涛平,王晓东.腹腔镜完全腹膜外疝修补术与开放无张力腹股沟疝术治疗腹股沟疝价值分析[J].山西医药杂志,2020,49(4):426-428.[17]李腾成,狄金明,吴杰英,等.经腹膜外和经腹入路LRP术后腹股沟疝的临床特征分析[J].中华泌尿外科杂志,2019,40(11):859-860.[18]李冰,董长城,周永升,等.逆向穿刺法完全腹膜外腹股沟疝修补术治疗腹股沟疝临床效果观察[J].临床军医杂志,2021,49(4):416-417,420.

更新日期/Last Update: 1900-01-01