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腹腔镜疝修补术治疗单侧腹股沟斜疝的临床效果 被引量:9

Clinical effect of laparoscopic hernia repair in the treatment of unilateral indirect inguinal hernia
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摘要 目的:探讨腹腔镜疝修补术中采用完整剥离疝囊与横断疝囊治疗单侧腹股沟斜疝的临床效果。方法:采取前瞻性研究,选择2017年1月至2020年10月收治的80例单侧腹股沟斜疝患者作为研究对象,按照信封法将患者随机分为观察组与对照组,每组40例,观察组采用横断疝囊法,对照组采用完整剥离疝囊法,对比分析两组围手术期指标、术后疼痛、术后并发症等指标。结果:观察组手术时间、术中出血量优于对照组,两组住院时间、住院费用差异无统计学意义;术后第1天,观察组疼痛评分低于对照组;术后第7天、第14天,两组疼痛评分差异无统计学意义;两组术后血清肿、阴囊积液及疝复发情况差异无统计学意义;观察组精索肿胀发生率低于对照组,差异有统计学意义。结论:腹腔镜疝修补术中采用横断疝囊治疗单侧腹股沟斜疝可减轻术后疼痛,缩短手术时间,减少出血量,效果较好。 Objective:To study the clinical effect of complete hernia sac dissection and transverse hernia sac dissection in l aparoscopic hernia repair for the treatment of unilateral indirect inguinal hernia.Methods:A prospective study was conducted in 80 p atients with unilateral indirect inguinal hernia from Jan.2017 to Oct.2020.According to the envelope method,the above patients were randomly divided into observation group and control group with 40 patients in each group.The patients in the observation group were treated with transverse dissection of hernia sac,and the patients in the control group were treated with complete dissection of hernia sac.The perioperative indexes,postoperative pain and postoperative complications were compared between the two groups.Results:The o peration time and intraoperative bleeding volume of the observation group were significantly lower than those of the control group.There were no significant differences in hospital stay and hospitalization expenses between the two groups.One day after operation,the pain score of the observation group was significantly lower than that of the control group,and there was no significant difference between the two groups in the VAS scores on the 7th and 14th day after operation.There was no significant difference between the two groups in s eroma,scrotal effusion and hernia recurrence.The rate of spermatic cord swelling in the observation group was significantly lower than that in the control group.Conclusions:Transverse dissection of hernia sac in laparoscopic herniorrhaphy for the treatment of unilateral indirect inguinal hernia can reduce postoperative pain,operation time and blood loss,and the therapeutic effect is better.
作者 朱立军 戴旭东 庄海文 卜延志 ZHU Li-jun;DAI Xu-dong;ZHUANG Hai-wen(Department of General Surgery,Lianshui County Hospital of Traditional Chinese Medicine,Huai'an 223400,China;Department of General Surgery,Lianshui People's Hospital,Nanjing Medical University;Department of General Surgery,Huai'an Hospital Affiliated to Xuzhou Medical University)
出处 《腹腔镜外科杂志》 2022年第9期659-662,共4页 Journal of Laparoscopic Surgery
基金 淮安市自然科学研究计划(HABZ202010)。
关键词 腹股沟 疝修补术 腹腔镜检查 横断疝囊 完整剥离疝囊 Hernia,inguinal Herniorrhaphy Laparoscopy Transverse dissection of hernia sac Complete dissection of hernia sac
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