腹腔镜经腹腔腹膜前疝修补术在腹股沟疝治疗中的应用效果研究OA
Study on the Effect of Laparoscopic Transperitoneal Preperitoneal Hernia Repair in the Treatment of Inguinal Hernia
目的 探讨在腹股沟疝治疗中应用腹腔镜经腹腔腹膜前疝修补术的临床效果.方法 选择霍邱县第二人民医院2022年1月至2024年10月收治的腹股沟疝患者52例,以入院时间前后顺序分组,每组26例.对照组采用平片无张力疝修补术,观察组采用腹腔镜经腹腔腹膜前疝修补术.比较分析两组患者的手术指标、术后恢复指标与术后并发症.结果 观察组术中出血量(5.58±1.31)ml,少于对照组,P<0.05;观察组术后排气时间(20.17±1.67)h、排便时间(27.13±2.45)h、下床时间(32.18±3.01)h、疼痛持续时间(69.25±6.46)h、住院时间(4.31±1.17)d,分别较对照组短,P<0.05.观察组并发症率为3.85%,低于对照组的23.08%,P<0.05.结论 对腹股沟疝予腹腔镜经腹腔腹膜前疝修补术治疗,患者术后康复进程更快,并发症更少.
Objective:To explore the clinical effect of laparoscopic transabdominal preperitoneal hernia repair in the treatment of inguinal hernia.Methods:From January 2022 to October 2024,52 patients with inguinal hernia were se-lected and divided into control group and observation group according to the order of admission,with 26 cases in each group.The control group was treated with plain tension-free hernia repair,while the observation group was treated with laparoscopic transabdominal preperitoneal hernia repair.The surgical indexes,postoperative recovery indexes and postoperative complications of the two groups were compared and analyzed.Results:The blood loss in the observation group was(5.58±1.31)ml,which was less than that in the control group,P<0.05.In the observation group,the postoperative exhaust time、defecation time、getting out of bed time、pain duration and hospitalization time were(20.17±1.67)h、(27.13±2.45)h、(32.18±3.01)h、(69.25±6.46)h and(4.31±1.17)d,all were shorter than the control group,P<0.05.The incidence of postoperative complications in the intervention cohort was recorded at 3.85%,demonstrating statistically significant reduction relative to the 23.08%complication rate observed in the com-parative group,P<0.05.Conclusion:Laparoscopic transabdominal preperitoneal hernioplasty for inguinal hernia has the advantages of less bleeding during operation,rapid recovery after operation and low risk of complications.
秦国宁
霍邱县第二人民医院外一科,安徽霍邱 237400
临床医学
腹股沟疝腹腔镜经腹腔腹膜前疝修补术并发症
Inguinal herniaLaparoscopicRetroperitoneal hernia repairComplications
《生命科学仪器》 2025 (2)
13-15,3
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