腹腔镜经腹膜前疝修补术治疗成人腹股沟疝的效果分析

王鼐超 雷庆军 朱文浪

太仓市第一人民医院

摘要：目的：探究腹腔镜经腹膜前疝修补术（TAPP）治疗成人腹股沟疝（IH）的效果。方法：选取90例成人IH患者，按照随机数字表法分为A组和B组，每组各45例。A组应用开放式无张力疝修补术（TFH）治疗，B组应用TAPP治疗，比较两组手术指标，术后2 h、6 h、12 h疼痛程度及术后并发症。结果：B组下床时间、胃肠功能恢复时间、住院时间均短于A组，手术时间长于A组，术中出血量少于A组（P＜0.05）;术后2 h、6 h、12 h两组视觉模拟疼痛（VAS）评分逐渐升高，但B组术后各时间点VAS评分均低于A组（P＜0.05）;B组并发症总发生率低于A组（P＜0.05）。结论：TAPP治疗成人IH患者，较开放式TFH治疗效果更好。

关键词：成人腹股沟疝;开放式无张力疝修补术;腹腔镜经腹膜前疝修补术;

Effects of laparoscopic transabdominal preperitoneal prosthesis on adults with inguinal hernia WANG Naichao,LEI Qingjun,ZHU Wenlang.(The 1stPeople′s Hospital of Taicang City,Taicang 215400,China)

Abstract Objective: To investigate the effects of laparoscopic transabdominal preperitoneal prosthesis (TAPP)on adults with inguinal hernia(IH). Methods: A total of 90 adult IH patients were selected and randomized into Group A and Group B, each with 45 cases. Group A was treated with open tension-free herniorrhaphy(TFH), while Group B received the treatment with TAPP. Then, the surgical indicators, pain degree and postoperative complications were compared between the two groups at 2 h, 6 h and 12 h after operation. Results: The time for out-of-bed activity, recovery time of gastrointestinal function, and hospital stay in Group B were shorter than that in Group A, the operation time was longer than that in Group A, and the intraoperative blood loss was less than that in Group A(P<0.05); visual analogue pain (VAS) scores of the two groups increased gradually at 2 h, 6 h and 12 h after surgery, but VAS score of Group B were lower than that of Group A at each time point after surgery (P< 0. 05); and the total incidence of complications in Group B was lower than that in Group A(P<0.05). Conclusion: Compared with TFH, TAPP is more effective in the treatment of adult IH patients.

Keywords:adult inguinal hernia; open tension-free herniorrhaphy( TFH); laparoscopic transabdominal preperitoneal prothesis(TAPP)

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