摘要
目的分析双侧腹股沟疝治疗中腹腔镜TAPP和开放式无张力疝修补术的临床效果。方法选取我院收治的双侧腹股沟疝患者80例,根据入院先后顺序将其分为TAPP组和开放组,每组40例。TAPP组使用腹腔镜TAPP治疗;开放组使用开放式无张力疝修补术进行治疗。比较两组患者的手术时间、术中出血量、疼痛持续时间、住院时间和总有效率。结果 TAPP组手术时间、术中出血量、疼痛持续时间和住院时间均明显优于开放组(P<0.05);TAPP组和开发组治疗总有效率分别为97.50%和82.50%,TAPP组治疗总有效率明显高于开放组(P<0.05)。结论腹腔镜TAPP应用于双侧腹股沟疝的临床治疗中,可以缩短手术时间、疼痛时间及住院时间,减少术中出血量,临床效果显著,值得临床推广使用。
Objective To analyze the clinical effects of laparoscopic TAPP and open tension-free herniorrhaphy in the treatment of bilateral inguinal hernia. Methods Eighty patients with bilateral inguinal hernia admitted in our hospital were selected. All the patients were divided into TAPP group and open group according to the registration number, with 40 cases each group. The TAPP group adopted laparoscopic TAPP, and the open group was treated with open tension-free herniorrhaphy. The operation time, intraoperative bleeding volume, duration of pain, hospitalization time and total effective rates of the two groups were compared. Results The operation time, intraoperative bleeding volume, duration of pain and hospitalization time of the TAPP group were significantly better than those of the open group（P〈0.05）. The total effective rate of the TAPP group was 97.50%, which was significantly higher than 82.50% of the open group（P〈0.05）. Conclusion The laparoscopic TAPP in the treatment of bilateral inguinal hernia can shorten the operation time, duration of pain and hospitalization time, reduce the intraoperative bleeding volume. It has remarkable clinical effects, which is worthy of application and promotion in clinic.
作者
邓朝东
和勇
DENG Chao-dong;HE Yong(No.1 Surgery Department, Qinghai Oilfield Staff General Hospital in Qili Town of Dunhuang, Dunhuang 736202, China)
出处
《临床医学研究与实践》
2018年第12期83-84,共2页
Clinical Research and Practice
