外科理论与实践

外科理论与实践 ›› 2022, Vol. 27 ›› Issue (06): 551-554.doi: 10.16139/j.1007-9610.2022.06.014

• 论著 • 上一篇    下一篇

腹腔镜经腹腹膜前疝修补术治疗嵌顿性腹股沟疝

杨良根, 朱俊强, 胡星辰()   

  1. 南京医科大学附属常州市第二人民医院疝外科，江苏 常州 213003
  • 收稿日期:2021-11-12 出版日期:2022-11-25 发布日期:2023-01-30
  • 通讯作者: 胡星辰, E-mail: 0156348@fudan.edu.cn

Transabdominal preperitoneal laparoscopic hernia repair in treatment of incarcerated inguinal hernia

YANG Lianggen, ZHU Junqiang, HU Xingchen()   

  1. Department of Hernia Surgery, Changzhou No.2 People′s Hospital, the Affiliated Hospital of Nanjing Medical University, Jiangsu Changzhou 213003, China
  • Received:2021-11-12 Online:2022-11-25 Published:2023-01-30

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摘要：

目的： 评价腹腔镜经腹腹膜前疝修补术治疗嵌顿性腹股沟疝的临床效果。方法： 回顾性分析2015年1月至2019年12月，我院收治手术的嵌顿性腹股沟疝44例临床资料。24例腹腔镜经腹腹膜前疝修补术为研究组，20例Lichtenstein术为对照组。比较两组手术时间、术后首次下床时间、术后住院时间、术后第1天疼痛评分、住院总费用等资料。术后随访12个月，比较两组术后血清肿、切口感染、补片感染、复发等术后情况。结果： 与对照组比较，研究组手术时间较长[（80.96±13.25） min比（64.90±18.80） min，P<0.05]，住院总费用较高[（16 389.07±2 034.72）元比（12 516.52±2 545.90）元，P<0.05]。研究组术后首次下床时间[（8.42±3.60） h比（11.00±3.52） h，P<0.05]及术后住院时间较短[（3.88±0.90） d比（4.80±1.32） d，P<0.05]。研究组术后第1天疼痛评分较对照组低[（2.25±0.74）分比（2.80±0.70）分，P<0.05]。研究组术后血清肿、切口感染，与对照组比较，差异无统计学意义（P>0.05）。结论： 虽然腹腔镜经腹腹膜前疝修补术治疗嵌顿性腹股沟疝手术时间较长、费用较高，但其具有术后疼痛轻和恢复快的优点。

关键词: 嵌顿性腹股沟疝, 腹腔镜经腹腹膜前疝修补术, Lichtenstein术

Abstract:

Objective: To evaluate the clinical effect of transabdominal preperitoneal laparoscopic hernia repair in the treatment of incarcerated inguinal hernia. Methods: Retrospective analysis was done with the clinical data of 44 patients of incarcerated inguinal hernia enrolled and operated in our hospital from January 2015 to December 2019. Twenty-four cases in study group were treated with transabdominal preperitoneal laparoscopic hernia repair and 20 cases undergoing Lichtenstein surgery in control group. Operative time, the time of first postoperative off-bed activities, postoperative hospital stay, pain score of first postoperative day, total hospital cost were compared between two groups. Follow-up was done for 12 months and postoperative seroma, incision infection, mesh infection, and recurrence were compared between two groups. Results: Operative time and total hospital cost in study group were higher than those in control group，(80.96±13.25) min vs. (64.90±18.80) min (P<0.05), (16 389.07±2 034.72) yuan vs. (12 516.52±2 545.90) yuan (P<0.05). However, the time of first off-bed activity after operation and postoperative hospital stay were shorter in study group than those in control group, (8.42±3.60) h vs. (11.00±3.52) h (P<0.05), (3.88±0.90) d vs. (4.80±1.32) d (P<0.05). Pain score of first day was lower in study group than in control group (2.25±0.74) vs. (2.80±0.70) (P<0.05). There were no significant differences in postoperative seroma, incision infection between study group and control group(P>0.05). Conclusions: Transabdominal preperitoneal laparoscopic hernia repair in the treatment of incarcerated inguinal hernia had longer operative time and higher cost, but with the advantages of less pain and faster recovery after surgery.

Key words: Incarcerated inguinal hernia, Transabdominal preperitoneal laparascopic hernia repair, Lichtenstein operation

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