摘要
目的探讨腹腔镜经腹腔腹膜前疝修补（TAPP）技术治疗复发性腹股沟疝的临床效果和手术技巧。方法回顾性分析2009年3月至2015年3月首都医科大学附属北京朝阳医院行TAPP手术治疗的367例复发性腹股沟疝患者的临床资料。结果365例患者顺利完成手术，2例中转开放。手术时间为（55．7±19．3）（30～100）min，住院时间（4．9±2．7）（2—12）d。术后疼痛发生率为4．1％（15／367），肿胀积液发生率为13．1％（48／367），排尿困难发生率为1．3％（5／367），无局部异物感、切口感染、肠梗阻等其他并发症发生。术后367例患者均随访3～72个月，平均（36．54±4．7）个月，复发2例，无补片感染及慢性疼痛。结论对于复发性腹股沟疝的治疗，腹腔镜TAPP手术具有创伤小、并发症少等优势，且手术安全性高，效果切实可靠。
Objective To explore the surgical techniques and the clinical efficacy of laparoscopic transabdominal preperitoneal repair （TAPP） for recurrent inguinal hernia. Methods Clinical data of 367 patients with recurrent inguinal hernia who underwent TAPP repair from Mar. 2009 to Mar. 2015 in Beijing Chao-Yang Hospital of Capital Medical University were analyzed retrospectively. Results Laparoscopic operations were completed successfully in 365 cases, however, 2 cases were converted to open surgery. The operation time was （55.7±19.3） min （30-100 min） and the hospital stay was （4.9 ±2.7） d （2- 12 d）. The incidences of postoperative pain, hydrocele, and urinary retention were 4. 1% （ 15/367 ）, 13.1% （48/367）, and 1.3% （5/367） respectively. Other complications such as foreign body sensation, wound infection,and intestinal obstruction. All cases were followed up from 3 to 72 months （（ 36. 5 ± 14. 7 ） months） , 2 recurrent cases was observed and no mesh infection and long-term chronic pain were observed. Conclusions Laparoscopic TAPP repair has advantages of minimal invasion and few complications,which is safe and effective for recurrent inguinal hernia.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2016年第20期1588-1590,共3页
National Medical Journal of China
关键词
腹腔镜
疝
腹股沟
复发
Laparoscopy
Hernia, inguinal
Recurrence
