摘要
目的:探讨子宫圆韧带两侧劈开法在女性腹股沟斜疝腹腔镜全腹膜外疝修补术中保持子宫圆韧带连续性的临床疗效。方法:回顾分析2018年1月至2023年12月收治的35例女性腹股沟斜疝患者的临床资料,平均(60.5±15.3)岁,均于腹腔镜全腹膜外疝修补术中采用子宫圆韧带两侧劈开法保留子宫圆韧带的连续性,总结分析手术时间、术中出血量、术后疼痛、腹股沟血清肿、术后复发等情况。结果:35例患者均完成腹腔镜全腹膜外疝修补术并顺利出院;手术时间平均(48±25)min,术中出血量(20±10)mL,术后疼痛评分(3.5±1.5)分,经对症处理后好转,3例发生血清肿,均为Ⅰ型血清肿,经临床观察后好转。术后随访3~42个月,均未发生慢性疼痛、复发。结论:腹腔镜全腹膜外疝修补术中采用子宫圆韧带两侧劈开法可保持子宫圆韧带的连续性,治疗女性腹股沟斜疝疗效确切。
Objective:To explore the clinical therapeutic effect of the bilateral splitting method of the round ligament of uterus on maintaining the continuity of the round ligament in laparoscopic totally extraperitoneal(TEP)hernia repair for female patients with indirect inguinal hernia.Methods:A retrospective analysis was conducted on the clinical data of 35 female patients with indirect inguinal hernia from Jan.2018 to Dec.2023.The average age was(60.5±15.3)years,and the surgical method was TEP.During the TEP surgery,the continuity of round ligament of uterus was preserved by splitting both sides of the ligament.The operative time,intraoperative blood loss,postoperative pain,inguinal seroma,and postoperative recurrence of the patients were summarized and analyzed.R esults:All 35 patients completed TEP surgery and were discharged smoothly.The surgical time was(48±25)min,intraoperative blood loss was(20±10)mL,and postoperative pain score was(3.5±1.5).After symptomatic treatment,the chronic pain improved.Three p atients developed seromas,all of which were typeⅠseromas,and improved after clinical observation.All patients were followed up for 3~42 months,and there was no chronic pain or hernia recurrence in all patients.Conclusions:In TEP surgery,the method of splitting the round ligament of uterus on both sides can maintain the continuity of the round ligament of uterus,and the therapeutic effect is definite in the treatment of female patients with indirect inguinal hernia.
作者
李达
胡行前
王彤
缪小飞
LI Da;HU Xingqian;WANG Tong(Department of Endoscopic Surgery,Wuxi People's Hospital Affiliated to Nanjing Medical University,Wuxi 214023,China)
出处
《腹腔镜外科杂志》
2025年第2期119-122,共4页
Journal of Laparoscopic Surgery
基金
南京医科大学无锡医学中心项目(WMCC202305)。
