[1]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):111-114.[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(12):111-114.[doi:10.3969/j.issn.1006-1959.2021.12.028]
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三种腹股沟疝手术的临床疗效及短期并发症比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
34卷
期数:
2021年12期
页码:
111-114
栏目:
论著
出版日期:
2021-06-15

文章信息/Info

Title:
Comparison of Clinical Curative Effect and Short-term Complications of Three Kinds of Inguinal Hernia Surgery
文章编号:
1006-1959（2021）12-0111-04
作者:
汪 煜; 胡明玉
（安徽医科大学附属安庆医院普外科，安徽 安庆 246003）
Author(s):
WANG Yu; HU Ming-yu
(General Surgery,Anqing Hospital Affiliated to Anhui Medical University,Anqing 246003,Anhui,China)
关键词:
疝环充填式无张力疝修补术; 腹股沟疝; 腹腔镜下经腹腹膜前修补术; 腹腔镜下全腹膜外修补术
Keywords:
Hernia ring plug tension-free hernia repair; Inguinal hernia; Laparoscopic transabdominal preperitoneal repair; Laparoscopic total extraperitoneal repair
分类号:
R656.2+1
DOI:
10.3969/j.issn.1006-1959.2021.12.028
文献标志码:
A
摘要:
目的 比较疝环充填式无张力修补术（Rutkow）、腹腔镜下经腹腹膜前修补术（TAPP）及腹腔镜下全腹膜外修补术（TEP）治疗腹股沟疝的临床疗效及短期并发症发生率。方法 选取2018年8月~2018年12月我院收治的90例腹股沟疝患者作为研究对象，根据区组随机化方法分为Rutkow组、TAPP组及TEP组，每组30例；比较三组住院费用、手术时间、切口长度、术中出血量、血清炎性因子水平（CRP、IL-6）、术后首次下床活动时间、术后第1天清晨疼痛评分、术后短期并发症发生率及疝复发率。结果 TAPP组和TEP组切口长度、术后首次下床活动时间、术后第1天清晨疼痛评分及术后短期并发症发生率均少于Rutkow组，差异有统计学意义（P＜0.05），TAPP组与TEP组比较，差异无统计学意义（P＞0.05）；TAPP组手术时间长于Rutkow组及TEP组，差异有统计学意义（P＜0.05），TEP组与Rutkow组比较，差异无统计学意义（P＞0.05）； Rutkow组住院费用少于TEP组、TAPP组，TEP组术中出血量少于TAPP组、Rutkow组，TEP组炎症因子少于TAPP组、Rutkow组，差异均具有统计学意义（P＜0.05）；Rutkow组术后短期并发症发生率高于TAPP组和TEP组，差异有统计学意义（P＜0.05）；三组疝复发率均为0。结论 Rutkow手术治疗腹股沟疝的费用低，操作相对简单，但术后并发症较多；TAPP术和TEP术患者术中出血量及术后并发症均较少，安全性高，术后疼痛轻，下床活动早，炎症反应轻，其中TEP组的出血量最少，手术时间最短，术后炎症因子最低，且住院费用低于TAPP组。相比较而言，TEP是临床上更适合的手术方式。
Abstract:
Objective To compare the clinical efficacy and short-term complication rate of hernia ring plug tension-free repair (Rutkow), laparoscopic transabdominal preperitoneal repair (TAPP) and laparoscopic total extraperitoneal repair (TEP) in the treatment of inguinal hernias.Methods A total of 90 patients with inguinal hernia admitted to our hospital from August 2018 to December 2018 were selected as the research objects. According to the block randomization method, they were divided into Rutkow group, TAPP group and TEP group, with 30 cases in each group;Comparing the three groups of hospitalization costs, operation time, incision length, intraoperative blood loss, serum inflammatory factor levels (CRP, IL-6), time to get out of bed for the first time after surgery, pain score in the morning on the first day after surgery, short-term surgery complication rate and hernia recurrence rate.Results The incision length, the first time to get out of bed after the operation, the pain score on the first day after the operation, and the incidence of short-term postoperative complications in the TAPP and TEP groups were all lower than those in the Rutkow group,the difference was statistically significant (P<0.05).There was no statistically significant difference between the TAPP group and the TEP group (P>0.05);The operation time of the TAPP group was longer than that of the Rutkow group and the TEP group,the difference was statistically significant(P＜0.05).There was no statistically significant difference between the TEP group and the Rutkow group (P>0.05);The cost of hospitalization in the Rutkow group was less than that of the TEP group and the TAPP group, the intraoperative blood loss in the TEP group was less than that of the TAPP group and the Rutkow group, and the inflammatory factors in the TEP group were less than the TAPP group and the Rutkow group,the differences were statistically significant (P<0.05);The incidence of short-term postoperative complications in the Rutkow group was higher than that in the TAPP group and TEP group,the difference was statistically significant(P＜0.05);The recurrence rate of hernia in the three groups was 0.Conclusion Rutkow surgery for inguinal hernia has low cost and relatively simple operation, but there are many postoperative complications;TAPP and TEP patients have less intraoperative blood loss and postoperative complications, high safety, light postoperative pain, early getting out of bed, and mild inflammation.Among them, the TEP group had the least bleeding, the shortest operation time, the lowest postoperative inflammatory factors, and the hospitalization cost was lower than that of the TAPP group. In comparison, TEP is a clinically more suitable surgical method.

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更新日期/Last Update: 1900-01-01