腹腔镜经腹膜前疝补片植入修补术治疗235例单侧腹股沟疝疗效观察

doi:10.3969/j.issn.2095-378X.2020.02.004

外科研究与新技术 ›› 2020, Vol. 9 ›› Issue (2): 85-87.doi: 10.3969/j.issn.2095-378X.2020.02.004

腹腔镜经腹膜前疝补片植入修补术治疗235例单侧腹股沟疝疗效观察

李国锋

罗定市中医院普通外科,广东罗定 527200

收稿日期:2020-03-27 出版日期:2020-06-28 发布日期:2020-09-16
作者简介:李国锋（1983—）,男,大学本科,副主任医师,从事临床普通外科工作;电子信箱：1615045184@qq.com

Clinical observation of 235 patients with unilateral inguinal hernia undergoing laparoscopic transabdominal preperitoneal prosthetic herniorrhaphy

LI Guofeng

Department of General Surgery, Luoding Hospital of Traditional Chinese Medicine, Luoding 527200, Guangdong, China

Received:2020-03-27 Online:2020-06-28 Published:2020-09-16

摘要/Abstract

摘要： 目的观察腹腔镜经腹膜前疝补片植入修补术治疗235例单侧腹股沟疝的临床疗效。方法选择2016年3月—2020年2月期间收治的470例单侧腹股沟疝患者,按治疗方式不同分为腹腔镜经腹膜前疝前补片植入修补术（观察组）和开放式无张力腹股沟疝修补术（对照组）2组,每组各235例,观察2组手术情况、术后复发与并发症、GQOL-74评分。结果 2组术前VAS、GQOL-74评分无差异;观察组住院时间[（5.45±0.85） d对（8.25±1.55） d]、术后VAS评分（2.54±0.54对5.25±1.05）、下床活动时间[（13.52±3.54） h对（45.42±4.02） h]、术后并发症发生率（3.40% 对13.19%）和术后6个月复发率（2.55%对9.36%）均低于对照组（均P<0.05）,但手术时间（73.42±4.36） min对（44.52±4.42） min、术后GQOL-74评分却高于对照组（均P<0.05）。结论腹腔镜下经腹膜前疝补片植入修补术治疗单侧腹股沟疝,术后生活质量较高,患者疼痛较少,住院时间较短、复发率与并发症较少,值得应用。

关键词: 腹腔镜, 经腹膜前疝补片, 植入修补术

Abstract: Objective To observe the clinical efficacy of laparoscopic transabdominal preperitoneal prosthetic herniorraphy on unilateral inguinal hernia among 235 patients. Methods A total of 470 patients with unilateral inguinal hernia treated from March 2016 to February 2020 in our hospital were divided into a laparoscopic transabdominal preperitoneal prosthetic herniorraphy group (observation group) and an open tension-free inguinal hernia repair group (control group) according to different therapies, with 235 cases in each group. Operation conditions, postoperative recurrence rate and complications, and GQOL-74 (Generic Quality of Life Inventory-74) scores of the two groups were evaluated. Results No differences in preoperative VAS (Visual Analogue Scale) and GQOL-74 scores were observed between the two groups. The length of hospital stay [(5.45±0.85) d vs. (8.25±1.55)d], postoperative VAS scores (2.54±0.54 vs. 5.25±1.05), time of off?bed activity [(13.52±3.54) h vs. (45.42±4.02)h], postoperative complication rate (3.40% vs. 13.19%), and recurrence rate at 6 months after surgery (2.55% vs. 9.36%) in the observation group were all lower than those in the control group (all P<0.05), but the operative time [(73.42±4.36) min vs. (44.52±4.42) min] and postoperative GQOL-74 score were higher than those in the control group (all P<0.05). Conclusion Laparoscopic transabdominal preperitoneal prosthetic herniorraphy for unilateral inguinal hernia can produce higher life quality, less postoperational pain, shorter hospital stay, a lower recurrence rate, and fewer complications, thus it is worthy of application.

Key words: Laparoscopic, Transabdominal preperitoneal prosthetic, Herniorrhaphy

中图分类号:

李国锋. 腹腔镜经腹膜前疝补片植入修补术治疗235例单侧腹股沟疝疗效观察[J]. 外科研究与新技术, 2020, 9(2): 85-87.

LI Guofeng. Clinical observation of 235 patients with unilateral inguinal hernia undergoing laparoscopic transabdominal preperitoneal prosthetic herniorrhaphy[J]. Surgical Research and New Technique, 2020, 9(2): 85-87.

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腹腔镜经腹膜前疝补片植入修补术治疗235例单侧腹股沟疝疗效观察

Clinical observation of 235 patients with unilateral inguinal hernia undergoing laparoscopic transabdominal preperitoneal prosthetic herniorrhaphy

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