摘要
目的:探讨腹腔镜经腹腹膜前疝修补术(TAPP)应用于单侧初发腹股沟疝患者中的效果。方法:选取2020年3月—2023年3月北京市丰台区中医医院收治的94例单侧初发腹股沟疝患者,根据信封随机法将其分为对照组和试验组,各47例。对照组施行开放无张力疝修补术(OTFH),试验组施行TAPP。比较两组围手术期指标,术前及术后24 h、48 h疼痛程度、皮质醇,并发症。结果:试验组手术时间短于对照组,下床活动时间早于对照组,术中出血量少于对照组,住院花费多于对照组,差异有统计学意义(P<0.05)。术后24 h、48 h,试验组数字评定量表(NRS)评分、皮质醇水平低于对照组,差异有统计学意义(P<0.05)。试验组并发症发生率为4.26%,低于对照组的17.02%,差异有统计学意义(P<0.05)。结论:在单侧初发腹股沟疝疾病的治疗中,TAPP疗效显著,有助于缩短手术操作和下床活动用时,缓解换着疼痛感,减轻机体应激反应,减少术后并发症。
Objective:To explore the effect of laparoscopic transabdominal preperitoneal hernia repair surgery(TAPP)in the application of patients with unilateral primary inguinal hernia.Method:A total of 94 patients with unilateral initial inguinal hernia who treated in Beijing Fengtai District Traditional Chinese Medicine Hospital from March 2020 to March 2023 were selected,they were divided into the control group and the experimental group according to envelope random method,47 cases in each group.Open tension-free hernia repair surgery(OTFH)was administered in the control group and TAPP was administered in the experimental group.The perioperative indexes,pain degree,cortisol before and 24 h and 48 h after surgery and complications were compared between two groups.Result:The operation time of the experimental group was shorter than that of control group,the time of getting out of bed was earlier than that of control group,the intraoperative blood loss volume was less than that of control group,and the hospitalization cost was more than that of control group,the differences were statistically significant(P<0.05).At 24 h and 48 h after surgery,the numerical rating scale(NRS)scores and cortisol levels of the experimental group were lower than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complication of the experimental group was 4.26%,which was lower than 17.02%of the control group,the difference was statistically significant(P<0.05).Conclusion:In the treatment of unilateral initial inguinal hernia disease,TAPP has a significant therapeutic effect,which helps to shorten the surgical procedure and the time required for getting out of bed,alleviate pain,alleviate body's stress response,and reduce postoperative complications.
作者
陈永友
CHEN Yongyou(Beijing Fengtai District Traditional Chinese Medicine Hospital,Beijing 100076,China)
出处
《中外医学研究》
2024年第18期55-58,共4页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
腹腔镜经腹腹膜前疝修补术
疼痛
单侧初发腹股沟疝
并发症
Laparoscopic transabdominal preperitoneal hernia repair surgery
Pain
Unilateral initial inguinal hernia
Complication
