摘要
目的比较经腹腔腹膜前疝修补术(TAPP)与Lichtenstein修补术对腹股沟疝患者的影响。方法选取2021年1月—2023年11月新疆四七四医院收治的100例腹股沟疝患者为研究对象,按随机数字表法将其分为对照组和观察组,各50例。对照组行Lichtenstein修补术治疗,观察组行TAPP治疗。对比两组手术相关指标、术后疼痛程度、应激反应、并发症发生情况。结果观察组术中出血量为(14.25±2.18)mL,少于对照组的(20.31±2.69)mL,手术时间为(48.72±3.59)min、住院时间为(4.30±0.56)d,均短于对照组的(70.69±5.31)min、(6.31±1.42)d,并发症发生率4.00%低于对照组的16.00%,组间差异有统计学意义(P<0.05)。术后1、3 d,观察组疼痛视觉模拟评分分别为(2.38±0.41)分、(1.56±0.22)分,均低于对照组的(3.21±0.59)分、(2.29±0.34)分,组间差异有统计学意义(P<0.05)。术后1 d,观察组皮质醇水平(176.38±16.52)nmol/L、去甲肾上腺素水平(296.45±29.12)pmol/L均低于对照组的(198.92±20.31)nmol/L、(318.77±32.45)pmol/L,组间差异有统计学意义(P<0.05)。结论相较于Lichtenstein修补术,TAPP创伤更小、并发症更少,引起的应激反应更轻,可有效减轻腹股沟疝患者术后疼痛程度,有一定的应用价值,值得临床借鉴。
Objective To compare the effects of transabdominal anterior peritoneal hernia repair(TAPP)and Lichtenstein repair on patients with inguinal hernia.Methods A total of 100 patients with inguinal hernia admitted to Xinjiang 474 Hospital from January 2021 to November 2023 were selected and randomly divided into a control group and an observation group,with 50 cases in each group.The control group underwent Lichtenstein repair surgery treatment,while the observation group underwent TAPP treatment.The surgical related indicators,postoperative pain level,stress response and complications of two groups were compared.Results The intraoperative blood loss of the observation group was(14.25±2.18)mL,which was less than(20.31±2.69)mL of the control group,the operation time was(48.72±3.59)min,hospitalization time was(4.30±0.56)d,which were shorter than(70.69±5.31)min and(6.31±1.42)d of the control group,and the incidence of complications was 4.00%,which was lower than 16.00%of the control group,the differences between the groups were statistically significant(P<0.05).The first,third day of postoperative,the pain Visual Analog Scale score of the observation group were(2.38±0.41)points and(1.56±0.22)points,respectively,which were lower than(3.21±0.59)points and(2.29±0.34)points,the differencesbetween the groups were statistically significant(P<0.05).After 1 day of surgery,the cortisol level(176.38±16.52)nmol/L and norepinephrine level(296.45±29.12)pmol/L in the observation group were lower than(198.92±20.31)nmol/L and(318.77±32.45)pmol/L in the control group,the differences between the groups were statistically significant(P<0.05).Conclusion Compared with Lichtenstein repair,TAPP has smaller trauma,fewer complications,and causes lighter stress reactions.It can effectively reduce the incidence of postoperative pain level in patients with inguinal hernia,and has certain application value,which is worth clinical reference.
作者
孙哲民
SUN Zhemin(Department of General Surgery,Xinjiang 474 Hospital,Urumqi 830000,China)
出处
《反射疗法与康复医学》
2024年第9期51-53,共3页
Reflexology And Rehabilitation Medicine
作者简介
孙哲民(1987-),男,甘肃兰州人,本科,主治医师,研究方向:肝胆胃肠外科疾病诊治。
