摘要
目的观察采用腹腔镜下经腹腔腹膜前补片植入术(TAPP)治疗腹股沟疝的临床疗效。方法腹股沟疝手术患者100例随机均分为两组。试验组采用腹腔镜下TAPP,对照组采用传统开放式无张力疝修补手术,比较两组临床效果和安全性。结果两组患者均成功手术。试验组手术时间和住院时间均少于对照组,且试验组术中出血量、腹膜撕裂率、腹股沟血肿发生率和术后VAS疼痛评分均低于对照组(P<0.05)。术后无神经痛和腹股沟疝复发病例。结论与传统开放手术比较,腹腔镜下TAPP治疗腹股沟疝安全、有效,具有术后疼痛轻、出血量少、恢复快等优点。
Objective To observe the clinical efficacy of laparoscopic transabdominal preperitoneal prosthetic（TAPP）in inguinal hernia repair.Methods A total of 100 patients with inguinal hernia was randomly divided into two group with 50 cases each.Laparoscopic TAPP was performed in group A and conventional open tension-free hernia repair was performed in group C.Clinical outcomes were compared between two groups.Results The surgeries in both groups were successful.Compared to group B,group A had shorter operation time and hospital stay,less intraoperative blood loss,lower incidence rates of peritoneal tear,inguinal hematomas,and better VAS pain scores（P〈0.05）.There was no case with postoperative neuralgia and recurrence of inguinal hernia.Conclusion Compared to conventional open surgery,laparoscopic TAPP is safe and effective in the treatment of inguinal hernia with the advantages of less blood loss during operation and postoperative pain and quicker recovery.
作者
唐伟
TANG Wei(Department of General Surgery,Health Central Hospital,Jurong 212441,CHINA)
出处
《江苏医药》
CAS
2018年第9期1030-1032,共3页
Jiangsu Medical Journal
关键词
腹腔镜疝修补术
腹股沟疝
Laparoscopic hernia repair
Inguinal hernia
