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外科研究与新技术（中英文）

外科研究与新技术（中英文） ›› 2025, Vol. 14 ›› Issue (2): 166-169.doi: 10.3969/j.issn.2095-378X.2025.02.015

• 论著 • 上一篇    下一篇

腹腔镜下经腹腹膜前疝修补术用于老年腹股沟疝的疗效分析

江超1, 梅郑洲1, 吴艳玲2, 巫华生1, 林美太1   

  1. 1.福建医科大学附属三明市第一医院肝胆外科, 福建 三明 365000;
    2.福建医科大学附属三明市第一医院骨科, 福建 三明 365000
  • 收稿日期:2024-04-08 出版日期:2025-06-28 发布日期:2025-07-07

Effect of laparoscopic transperitoneal preperitoneal hernia repair in elderly patients with inguinal hernia

JIANG Chao1, MEI Zhengzhou1, WU Yanling2, WU Huasheng1, LIN Meitai1   

  1. 1. Department of Hepatobiliary Surgery, The First Hospital of Sanming City, Fujian Medical University, Sanming 365000, Fujian, China;
    2. Department of Orthopaedics, The First Hospital of Sanming City, Fujian Medical University, Sanming 365000, Fujian, China
  • Received:2024-04-08 Online:2025-06-28 Published:2025-07-07

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摘要： 目的 探讨腹腔镜下经腹腹膜前疝修补术（TAPP）用于治疗老年腹股沟疝的效果。方法 选取2022年1月—2023年9月福建医科大学附属三明市第一医院收治的100例老年腹股沟疝患者作为研究对象,按照手术方式分为观察组和对照组,每组50例。对照组患者进行开放无张力疝修补术治疗,观察组患者进行TAPP治疗,对比分析两组效果。结果 观察组手术时间显著长于对照组（P<0.05）;观察组术中出血量显著少于对照组（P<0.05）,胃肠恢复时间和住院时间显著短于对照组（P<0.05）。术前两组视觉模型评分法（VAS）评分比较,差异无统计学意义（P>0.05）,术后各时间点观察组患者VAS评分显著低于对照组（P<0.05）。术前两组健康调查量表36（SF-36）评分比较,差异无统计学意义（P>0.05）,术后两组患者SF-36评分均较术前显著提高（P<0.05）,且观察组SF-36评分显著高于对照组（P<0.05）。观察组并发症发生率显著低于对照组（P<0.05）,复发率与对照组比较,差异无统计学意义（P>0.05）。结论 TAPP用于治疗老年腹股沟疝安全有效,值得推广应用。

关键词: 腹股沟疝, 老年人, 腹腔镜下经腹腹膜前疝修补术

Abstract: Objective To investigate the effect of laparoscopic transperitoneal preperitoneal hernia repair （TAPP） on elderly inguinal hernia. Methods A total of 100 elderly patients with inguinal hernia admitted to the First Hospital of Sanming City affiliated to Fujian Medical University from January 2022 to September 2023 were selected as study participants, and were divided into an observation group and a control group according to the surgical method, with 50 cases in each group. The control group received open tension-free hernia repair, and the observation group received TAPP treatment. The effects of the two groups were compared and analyzed. Results The operation time in the observation group was significantly longer than that in the control group （P<0.05）. The amount of bleeding in the observation group was significantly less than that in the control group （P<0.05）. The gastrointestinal recovery time and hospital stay in the observation group were significantly shorter than those in the control group （P<0.05）. Before operation, there was no significant difference in visual analogue scale （VAS） score between the two groups （P>0.05）. After operation, the VAS scores at different time points in the observation group were significantly lower than those in the control group （P<0.05）. There was no significant difference in the 36-Item Short Form Health Survey （SF-36） score between the two groups before operation （P>0.05）. After operation, the SF-36 scores in both groups were significantly increased than those before operation （P<0.05）, and the SF-36 score in the observation group was significantly higher than that in the control group （P<0.05）. The incidence of complications in the observation group was significantly lower than that in the control group （P<0.05）, but there was no significant difference in recurrence rate between the two groups （P>0.05）. Conclusion TAPP is safe and effective in the treatment of elderly inguinal hernia, and worthy of promotion.

Key words: Inguinal hernia, Elderly, Laparoscopic transperitoneal preperitoneal hernia repair

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