摘要
目的以巨大切口疝、肠粘连紧密腹壁切口疝患者为试验对象,评估腹腔镜联合开腹补片修补术的临床应用价值。方法确定研究时间为2022年1月至2024年1月,入组对象均选择本院确诊为巨大切口疝及肠粘连紧密腹壁切口疝的患者,抽检入组样本共计60例,根据病情、手术指征进行手术方案选择,将入试者划分为两组,即对照组、观察组,对照组采取开腹补片修补术治疗,观察组患者则应用腹腔镜联合开腹补片修补术,对比临床治疗效果。结果观察组患者围手术期指标,术后并发症发生率,血清InS、GH及T-AOC、β-EP水平,炎症因子水平均优于对照组(P<0.05)。结论巨大切口疝及肠粘连紧密腹壁切口疝患者治疗期间腹腔镜联合开腹补片修补术具有较高安全性和有效性,可缩短患者疼痛持续时间,减少出血量。
Objective To evaluate the clinical application value of laparoscopic combined with open abdominal patch repair in patients with giant incisional hernia and tight abdominal wall incisional hernia.Methods The study period was determined to be from January 2022 to January 2024.The enrolled subjects were all patients diagnosed with giant incisional hernia and tight abdominal wall incisional hernia in our hospital.A total of 60 samples were randomly selected for the study.The subjects were divided into two groups using a random number table method,named the control group and the observation group.The control group received open abdominal patch repair surgery,while the observation group received laparoscopic combined open abdominal patch repair surgery.The clinical treatment effects were compared.Results Perioperative indicators,postoperative complication rates,serum InS,GH and T-AOC,β-EP levels,and inflammatory factor levels were better in the observation group than in the control group(P<0.05).Conclusions Laparoscopic combined with open abdominal patch repair has high safety and effectiveness in the treatment of patients with large incisional hernias and tight abdominal wall incisional hernias.It can shorten the duration of pain and reduce bleeding.
作者
叶建国
胡安然
YE Jianguo;HU Anran(No.2 Department of General Surgery,Sanming Second Hospital Yong’an General Hospital,Sanming,Fujian 366100,China)
出处
《中国医药指南》
2025年第3期103-105,共3页
Guide of China Medicine
关键词
腹腔镜联合开腹补片修补术
巨大切口疝
肠粘连紧密腹壁切口疝
临床效果
Laparoscopic combined with open abdominal patch repair surgery
Giant incisional hernia
Intestinal adhesively tight abdominal incisional hernia
Clinical effcacy
作者简介
通信作者:叶建国,Email:407474606@qq.com。
