摘要
目的探讨TEP术式与Lichtenstein术式治疗老年腹股沟疝的临床效果。方法选取2016年1月~2017年5月我院收治的老年腹股沟疝患者80例,采用随机数字表法将其分为对照组、观察组,每组40例。对照组行开放Lichtenstein术式修补,观察组行TEP术式修补,比较两组手术消耗时间、术后首次下床活动时间、总住院时间和术后伤口疼痛、术后血清肿、术后阴囊水肿等并发症的发生情况以及复发情况。结果两组患者的手术消耗时间比较,差异无统计学意义(P>0.05);观察组患者的术后首次下床时间及总住院时间均短于对照组,差异有统计学意义(P<0.05)。观察组患者的术中出血量[(12.5±4.48)ml]明显少于对照组的(20.6±9.82)ml,差异有统计学意义(t=4.1640,P=0.000)。观察组患者的术后并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。观察组患者的复发率为(0%),对照组为为(2.5%),且再次行手术治疗。两组患者术后6个月随访复发情况的比较,差异无统计学意义(P>0.05)。结论腹腔镜完全腹膜外疝修补术能缩短患者住院时间和手术时间,减少术中出血,减轻患者术后疼痛,降低术后并发症和复发率,比较Lichtenstein术式,安全性较高,可在临床上重点推广应用。
Objective To investigate the clinical effect of TEP operation and Lichtenstein operation for elderly inguinal hernia.Methods A total of 80 elderly patients with inguinal hernia admitted to our hospital from January 2016 to May2017 were selected and randomly divided into control group and observation group,with 40 cases in each group.The control group was repaired by open lichten stein operation and the observation group by TEP operation.The operation time,the time of first ambulation after operation,the total hospital stay and postoperative wound pain,postoperative serum swelling,postoperative scrotal edema and other complications and recurrence were compared between the two groups.Results There was no significant difference in the operation time between the two groups（P〉0.05）. The first time out of bed and total hospitalization time of patients in the observation group were shorter than those in the control group,the difference was statistically significant（P〈0.05）.The intraoperative blood loss（12.5±4.48） ml in the observation group was significantly less than that in the control group（20.6±9.82） ml,and the difference was statistically significant（t=4.1640,P=0.0000.05）.The incidence of postoperative complications in the observation group was significantly lower than that in the control group（P〈0.05）.The recurrence rate of patients in the observation group was 0（0%）,and that in the control group was 1 2.5%,and the patients were operated again.There was no significant difference between the two groups in terms of recurrence after 6 months follow-up（P〉0.05）.Conclusion Laparoscopic complete retroperitoneal hernia repair can shorten the hospitalization time and operation time and reduce intraoperative bleeding and postoperative pain and reduce postoperative complications and recurrence rate,compared with the high risk of lixinstern surgery,it can be focused on the clinical application.
作者
黄理哲
HUANG Li-zhe(Gastrointestinal Anal Disease Surgery,Ruikang Hospital Affiliated to Guangxi University of Chinese Medicine,GuangxiZhuang Autonomous Region,Nanning 530011,China)
出处
《中国当代医药》
2018年第16期56-58,62,共4页
China Modern Medicine
