摘要
目的探讨腹腔镜技术在嵌顿性腹股沟疝中的应用价值。方法2015年6月~2020年10月我院收治的成人嵌顿性腹股沟疝手术病人42例,按治疗方法分为两组,观察组18例,行腹腔镜下经腹腔腹膜前修补术(transabdominal preperitoneal prosthetic,TAPP),对照组24例,行开放手术。记录两组病人手术时间、住院时间、术后疼痛评分及术后并发症。结果两组均顺利完成手术,两组手术时间、术后并发症比较差异无统计学意义(P>0.05)。观察组术后住院时间短于对照组[(5.2±2.3)天vs(8.5±1.7)天],满意度高于对照组[(97.5±1.6)%vs(90.8±7.2)%],两组比较,差异有统计学意义(P<0.05)。结论腹腔镜技术应用于嵌顿性腹股沟疝便于充分探查腹腔,具有操作空间大的优势,利于还纳疝内容物及判断肠管活力。
Objective To explore the application value of laparoscopic technique in incarcerated inguinal hernia.Methods The clinical data of 42 adult patients with incarcerated inguinal hernia admitted to our hospital from June 2015 to October 2020 were selected.According to the treatment methods,they were divided into two groups.There wer 18 cases in observation group,which underwent transabdominal preperitoneal prosthetic(TAPP)surgery.24 patients underwent open surgery.The operative time,length of hospital stay,postoperative pain score and postoperative complications were recorded.Results The application of laparoscopic technique in incarcerated inguinal hernia has the advantages of less pain and shorter hospitalization time,which is more conducive to exploring the abdominal cavity.There was no significant difference in operative time and postoperative complications between the two groups(P>0.05).Conclusion The application of laparoscopic technique in incarcerated inguinal hernia is convenient to fully explore the abdominal cavity,has the advantage of large operating space,and is more conducive to restoring the contents of the hernia and judging the vitality of the intestine.
作者
金曜
汪翰
杨帆
陶凯雄
张弦
JIN Yao;WANG Han;YANG Fan(Department of General Surgery,Huazhong University of Science and Technology Hospital,Wuhan 430071,China)
出处
《临床外科杂志》
2021年第9期857-859,共3页
Journal of Clinical Surgery
基金
吴阶平医学基金(320.6750.2020-11-30)。
关键词
腹腔镜技术
嵌顿性腹股沟疝
应用研究
laparoscopic technique
incarcerated inguinal hernia
application research
