摘要
目的:比较腹腔镜腹膜前疝修补术(TAPP)与Lichtenstein平片疝修补术在治疗腹股沟疝患者中的应用效果。方法:选择新泰市人民医院2020年1月—2022年12月收治的102例腹股沟疝患者作为研究对象,根据随机数字表分为对照组和研究组,各51例。对照组采用Lichtenstein平片疝修补术治疗,研究组采用TAPP治疗。比较两组临床指标、疼痛情况、并发症发生情况与复发情况。结果:研究组术中出血量低于对照组,术后首次肛门排气时间、首次离床活动时间、总住院时间均短于对照组,差异均有统计学意义(P<0.05);研究组手术时间与对照组相比,差异无统计学意义(P>0.05)。术后第1、3、7天,研究组的疼痛评分均低于对照组,差异均有统计学意义(P<0.05)。研究组并发症发生率为3.92%,低于对照组的17.65%,差异有统计学意义(P<0.05)。术后1年,研究组复发率为0.00%,低于对照组的3.92%,但差异无统计学意义(P>0.05)。结论:应用Lichtenstein平片疝修补术与TAPP治疗腹股沟疝患者复发率无差异,但相较于Lichtenstein平片疝修补术,TAPP具有术中出血量少、恢复快、并发症发生风险低等优势,可有效缓解患者术后疼痛。
Objective:To compare the application effects of transabdominal preperitoneal prosthesis(TAPP)and Lichtenstein flat plate hernia repair in the treatment of inguinal hernia patients.Methods:A total of 102 patients with inguinal hernia admitted to Xintai People’s Hospital from January 2020 to December 2022 were selected as the study objects,and were divided into a control group and a study group according to the random number table,with 51 cases in each group.The control group underwent Lichtenstein flat plate hernia repair treatment,the study group underwent TAPP treatment.The clinical indexes,pain,complications occurrence and recurrence occurrence were compared between the two groups.Results:The intraoperative blood loss in the study group was lower than that in the control group,the first anal exhaust time,the first time to get out of bed and the total length of hospital stay were lower than those in the control group,the differences were statistically significant(P<0.05).There was no significant difference in operation time between the study group and the control group(P>0.05).At the 1st,3rd and 7th day after surgery,the pain scores of the study group were lower than those of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the study group was 3.92%,which was lower than 17.65%in the control group,the difference was statistically significant(P<0.05).One year after surgery,the recurrence rate of the study group was 0.00%,which was lower than 3.92%of the control group,but the difference was not statistically significant(P>0.05).Conclusion:There is no difference in the recurrence rate of inguinal hernia patients treated by Lichtenstein flat plate hernia repair and TAPP.However,compared with Lichtenstein flat plate hernia repair,TAPP has the advantages of less intraoperative blood loss,faster recovery and lower risk of complications,which can effectively relieve postoperative pain in patients.
作者
魏立平
WEI Liping(Department of No.3 General Surgery,Xintai People’s Hospital,Tai’an 271200,China)
出处
《中国伤残医学》
2024年第17期84-87,共4页
Chinese Journal of Trauma and Disability Medicine
