摘要
目的:探析为腹股沟疝患者应用腹腔镜经腹膜前腹股沟疝修补术(TAPP)和腹腔镜完全腹膜外腹股沟疝修补术(TEP)手术方案治疗效果。方法:选择2019年1月~2023年4月鹰潭贤泽第三医院收治确诊为腹股沟疝成人患者66例,通过随机数字表法将纳入患者分设为TAPP组、TEP组,分别给予TAPP术式治疗、TEP术式治疗。各组有患者33例。从两组患者的手术指标、术后疼痛程度进行两种术式的比较评价。结果:关于手术指标,TEP术式治疗患者在手术耗费时间、术中出血量、术后恢复活动时间、术后住院时间相对于TAPP术式治疗患者有明显优势,具有统计学意义(P<0.05)。两组患者术后疼痛视觉模拟评分(VAS)相对于术前均有下降,TEP组患者术后VAS评分低于TAPP组,差异有统计学意义(P<0.05)。结论:腹股沟疝患者应用TEP术式治疗效果显著,可有效缓解疼痛,患者接受程度更高。
Objective:To explore the therapeutic effects of laparoscopic transperitoneal inguinal hernia repair(TAPP)and laparoscopic complete extraperitoneal inguinal hernia repair(TEP)for patients with inguinal hernia.Methods:A total of 66 adult patients diagnosed with inguinal hernia were selected from January 2019 to April 2023,and the included patients were divided into TAPP group and TEP group by random number table method,and TAPP and TEP surgical treatment were given,respectively.There were 33 patients in each group.The surgical indexes and postoperative pain of the two groups were compared and evaluated.Results:The operative time,the time to return to normal activities after surgery,and the average time of postoperative hospitalization in TEP group were shorter than those in TAPP group,and the intraoperative blood loss was lower than that in control group,with statistical significance(P<0.05).The postoperative visual analogue score(VAS)of patients in both groups decreased compared with that before surgery,and the postoperative VAS score of patients in TEP group was lower than that in TAPP group,with statistical significance(P<0.05).Conclusion:The effect of TEP operation on inguinal hernia patients is significant,it can effectively relieve pain,and patients have a higher degree of acceptance.
作者
江荣昌
JIANG Rong-chang(External Surgery Department,Yingtan Xianze Third Hospital,Jiangxi Yingtan 335000)
出处
《中国医疗器械信息》
2024年第10期79-81,共3页
China Medical Device Information
关键词
腹腔镜经腹膜前腹股沟疝修补术
腹腔镜完全腹膜外腹股沟疝修补术
手术指标
疼痛
laparoscopic transperitoneal inguinal hernia repair
laparoscopic complete extraperitoneal inguinal hernia repair
surgical index
pain
