摘要
目的探讨腹腔镜经腹腹膜前疝修补术(TAPP术)与网塞-平片疝修补术(Rutkow术)的临床疗效。方法选择2019年3月—2021年3月宁夏固原市原州区人民医院收治的50例腹股沟疝患者为研究对象,采用双盲法分组标准分成常规组和研究组,每组25例。常规组予Rutkow术,研究组予TAPP术。比较两组临床指标、疼痛视觉模拟评分法(VAS)评分、术后并发症和复发率。结果研究组手术时间(50.19±9.62)min、术中出血量(10.03±5.48)ml、术后下床时间(0.49±0.41)d、住院时间(5.99±1.51)d短于常规组(75.11±10.19)min、(10.26±8.14)ml、(1.21±0.79)d、(8.18±1.62)d,差异有统计学意义(t=8.891,P<0.05;t=17.951,P<0.05;t=4.045,P<0.05;t=4.944,P<0.05);术后24 h研究组VAS评分(2.92±1.01)分低于常规组(3.56±0.78)分,差异有统计学意义(t=2.508,P<0.05);研究组并发症发生率与复发率低于常规组,差异无统计学意义(P>0.05)。结论与Rutkow术相比,TAPP术治疗腹股沟疝术后恢复更快,疼痛更轻,值得采纳。
Objective To investigate the clinical efficacy of laparoscopic transabdominal prepeRIToneal hernia repair(TAPP operation)and mesh plug flat mesh hernia repair(Rutkow operation).Methods 50 cases of inguinal hernia patients in the hospital from March 2019 to March 2021 were selected as the research objects,and were divided into the conventional group and the study group by double-blind grouping standard,with 25 cases in each group.Rutkow operation was performed in the conventional group and TAPP in the study group.The clinical indicators,VAS score,postoperative complications and recurrence rate were compared between the two groups.Results The operation time(50.19±9.62)min,intraoperative bleeding volume(10.03±5.48)ml,postoperative bed time(0.49±0.41)d,hospital stay(5.99±1.51)d were shorter than those of the conventional group(75.11±10.19)min,(10.26±8.14)ml,(1.21±0.79)d,(8.18±1.62)d,with statistical significance(t=8.891,P<0.05;t=17.951,P<0.05;t=4.045,P<0.05;t=4.045,P<0.05;t=4.944,P<0.05);The VAS score of the study group was(2.92±1.01),whichwas lower than that of the conventional group(3.56±0.78)24 hours after operation,and the difference was statistically significant(t=2.508,P<0.05);The incidence of complications and recurrence rate in the study group were lower than those in the conventional group,and the difference was not statistically significant(P>0.05).Conclusion Compared with Rutkow operation,TAPP has faster recovery and less pain,which is worthy of adoption.
作者
张兴智
陈志军
郭静
ZHANG Xingzhi;CHEN Zhijun;GUO Jing(Department of General Surgery,Yuanzhou District People's Hospital,Guyuan 756000,China)
出处
《中国全科医学》
CAS
北大核心
2020年第S02期151-153,共3页
Chinese General Practice
关键词
疝修补术
并发症
疼痛
腹股沟疝
Hernia repair
Complications
Pain
Inguinal hernia
