摘要
目的了解腹腔镜经腹腹膜前疝修补术(TAPP)治疗糖尿病合并腹股沟疝的临床疗效。方法100例糖尿病合并腹股沟疝患者分别采用TAPP修补术(研究组)、Lichtenstein修补术(对照组),比较两组手术时间、术中出血量、术后首次下床活动时间、术后第1天及第3天疼痛视觉模拟评分(VAS)、术后并发症、住院时间、住院费用情况。结果研究组手术时间、住院时间、术后首次下床活动时间均短于对照组(P<0.01),术中出血量少于对照组(P<0.01),术后第1、3天VAS低于对照组(P<0.01),但两组术后并发症差异无统计学意义(P>0.05)。结论TAPP是治疗糖尿病合并腹股沟疝的安全、可行的手术方式。
Objective To observe the clinical efficacy of laparoscopic transabdominal preperitoneal(TAPP)hernioplasty in diabetic patients with inguinal hernia.Methods One hundred diabetic patients with inguinal hernia were treated with TAPP(observation group)or Lichtenstein(control group)hernioplasty.Operative time,intraoperative blood loss,time of first ambulation,visual analogue scale(VAS)pain scores at 24 h and 72 h,postoperative complications,hospital stay and cost were compared between two groups.Results Compared with control group,operative time,hospital stay,time of first ambulation,intraoperative blood loss,and 24/72 h VAS scores were lower(P<0.01)in observation group.However,postoperative complications were comparable between two groups(P>0.05).Conclusion TAPP is safe and feasible for diabetic patients with inguinal hernia.
作者
陈焕德
陈明
林满洲
李啸天
陈嘉欣
CHEN Huan-de;CHEN Ming;LIN Man-zhou;LI Xiao-tian;CHEN Jia-xin(Department of Hernia and Abdominal Wall Surgery,Affiliated Hospital of Guangdong Medical University,Zhanjiang 524001,China)
出处
《广东医科大学学报》
2023年第4期433-435,共3页
Journal of Guangdong Medical University
关键词
腹股沟疝
糖尿病
腹腔镜
疝修补术
inguinal hernia
diabetes mellitus
laparoscopy
hernioplasty
