摘要
目的探究腹腔镜经腹膜前疝修补术(TAPP)治疗腹股沟疝的效果。方法选择我院100例腹股沟疝患者为研究对象,按照随机数表法将其分为观察组和对照组,每组50例。观察组给予TAPP治疗,对照组给予开放式无张力疝修补术治疗。比较两组手术相关指标、创伤应激指标水平改善情况、术后并发症及复发情况。结果观察组患者的手术时间长于对照组,术后进食时间、术后下床时间、住院时间均短于对照组,术中出血量、术后并发症总发生率均低于对照组(P<0.05)。术后3 d,观察组患者的IL-6、CRP、COR和ACTH水平均低于对照组(P<0.05)。两组患者术后均无复发。结论 TAPP治疗腹股沟疝的效果显著,创伤小,患者恢复快,可减少术后并发症。
Objective To explore the effect of laparoscopic transabdominal preperitoneal herniorrhaphy （TAPP） in inguinalhernia. Methods A total of 100 cases of inguinal hernia in our hospital were selected as study objects and randomly dividedinto observation group and control group, with 50 cases in each group. The observation group was treated with TAPP, and thecontrol group was treated with open tension free herniorrhaphy. The surgical related indicators, improvement of traumaticstress indicators levels, postoperative complications and recurrence were compared in the two groups. Results The length ofoperation of the observation group was longer than that of the control group, the postoperative feeding time, postoperativeambulation time and hospitalization time were shorter than those of the control group, and amount of the intraoperative bloodloss and total incidence of postoperative complications were lower than those of the control group （P〈0.05）. At 3 d afteroperation, the levels of IL-6, CRP, COR and ACTH in the observation group were lower than those in the control group（P〈0.05）. There was no recurrence after operation in both groups. Conclusion TAPP in the treatment of inguinal hernia hasasignificant clinical effect, with small trauma and quick recovery in patients, and it can reduce postoperative complications.
作者
亢卓
尚锋斌
KANG Zhuo;SHANG Feng-bin(Traditional Chinese Medicine Hospital of Fengxiang County,Baoji 721400,China)
出处
《临床医学研究与实践》
2018年第33期82-83,共2页
Clinical Research and Practice
