摘要
目的比较腹腔镜完全腹膜外疝修补术与疝环填充式无张力疝修补术治疗腹股沟疝的临床疗效,以期为临床上腹股沟疝治疗方法的选择提供依据。方法选择佛山市顺德区第二人民医院外三科于2015年1月至2017年6月期间收治的102例腹股沟疝患者为研究对象,根据随机数表法分为对照组和观察组,每组51例,对照组采用疝环填充式无张力疝修补术治疗,观察组采用腹腔镜完全腹膜外疝修补术治疗,比较两组患者的手术时间、术中出血量、术后12 h疼痛程度[视觉模拟疼痛评估(VAS)法]等临床指标;术后随访6个月,比较两组患者的复发情况。结果观察组患者的手术时间为(76.5±12.7)min,明显长于对照组的(61.8±9.5)min,但是术中出血量、术后VAS评分、术后下床时间及术后住院时间分别为(10.9±4.4)m L、(2.0±0.8)分、(1.9±0.8)d、(4.9±1.5)d,明显少于对照组的(24.7±7.2)m L、(3.7±1.2)分、(2.8±1.4)d、(7.2±2.5)d,差异均有统计学意义(P<0.05);观察组患者并发症发生率为5.88%,与对照组的9.80%比较差异无统计学意义(P>0.05);两组患者随访期间均无复发病例。结论腹腔镜完全腹膜外疝修补术与疝环填充式无张力疝修补术治疗腹股沟疝均能取得较好的临床效果,前者微创的优势更加明显。
Objective To compare the clinical efficacy of laparoscopic totally extraperitoneal（TEP） repair and tension-free mesh-plug hernia repair in the treatment of inguinal hernia, and to provide a basis for the selection of treatment methods for inguinal hernia in clinic. Methods A total of 102 inguinal hernia patients, who admitted to Department of Surgery No.3 of Foshan City Shunde District Second People＇s Hospital from January 2015 to June 2017, were selected and divided into the observation group and the control group according to random number method, with 51 patients in each group. The control group was treated with tension-free mesh-plug hernia repair, and the observation group was given laparoscopic TEP treatment. The operative time, intraoperative blood loss, postoperative 12 h pain（VAS） and other clinical indicators were compared between the two groups. After 6 months of follow-up, the recurrence of two groups was compared. Results The operation time in the observation group was（76.5±12.7） min, which was significantly longer than（61.8±9.5） min in the control group. The amount of intraoperative bleeding, postoperative VAS score, postoperative ambulation time, postoperative hospitalization time were（10.9±4.4） m L,（2.0±0.8）,（1.9±0.8） d,（4.9±1.5） d, respectively, which were significantly less than（24.7±7.2） m L,（3.7±1.2）,（2.8±1.4） d,（7.2±2.5） d in the control group（P〈0.05）. The complication rate was 5.88% in the observation group versus 9.80% in the control group（P〈0.05）. There was no recurrence patient in the two groups during the follow-up. Conclusion Laparoscopic TEP repair and tension-free mesh-plug hernia repair can achieve better clinical results, and the advantage of the former is more obvious.
作者
梁明超
梁盛枝
吴跃锐
高松
黄建铠
杨鹏羽
龚建安
LIANG Ming-chao;LIANG Sheng-zhi;WU Yue-rui;GAO Song;HUANG Jian-kai;YANG Peng-yu;GONG Jian-an(Department of Surgery No.3, Foshan City Shunde District Second People＇s Hospital, Foshan 528305, Guangdong, CHIN)
出处
《海南医学》
CAS
2018年第12期1744-1746,共3页
Hainan Medical Journal
