腹股沟疝成年患者腹腔镜手术效果研究.docVIP

腹股沟疝成年患者腹腔镜手术效果研究 　　[摘要]目的 探讨腹股沟疝成年患者接受腹腔镜手术治疗的效果。方法 选取2012年1月～2017年1月于我院接受治疗的266例腹股沟疝成年患者作为研究对象，其中接受腹腔镜下经腹腹膜前修补术治疗的成年患者126例，为TAPP组；接受完全腹膜外修补术治疗的成年患者90例，为TEP组。比较两组患者的手术时间、术后住院时间、术后的VAS评分以及并发症发生率和复发率。结果 TEP组患者的手术时间[（45.5±9.8）min]明显短于TAPP组[（65.3±10.5）min]，差异有统计学意义（P0.05）。TEP组患者的入院时和术后24 h VAS评分与TAPP组比较，差异无统计学意义（P0.05）。TEP组患者的感觉异常、血清肿、肠麻痹和尿潴留发生率分别为5.6%、8.9%、1.1%、8.9%，TAPP组患者的感觉异常、血清肿、肠麻痹和尿潴留发生率分别为8.7%、11.1%、2.4%、11.9%，两组比较差异有统计学意义（P0.05）。TEP组患者的术后半年内复发率（8.89%）高于TAPP组患者（3.10%），差异有统计学意义（P0.05）。结论 腹腔镜手术对于腹股沟疝成年患者的治疗有明显效果，其中腹腔镜下经腹腹膜前修补术术后的并发症发生率和复发率较低。 　　[关键词]腹股沟疝；腹腔镜；疝修补术 　　[中图分类号] R656.21 [文献标识码] A [文章编号] 1674-4721（2017）12（a）-0028-03 　　[Abstract]Objective To investigate the effect of laparoscopic surgery in adult patients with inguinal hernia.Methods A total of 266 cases of inguinal hernia treated in our hospital from January 2012 to January 2017 were selected as the subjects，among them，126 patients were treated with laparoscopic peritoneal prefovement repair were selected as the TAPP group，90 patients with complete peritoneal repair were selected as the TEP group.The operative time，postoperative hospital stay，postoperative VAS score，and complication rate and recurrence rate were compared between the two groups.Results The operation time of the TEP group （[45.5±9.8]min） was shorter than that of the TAPP group （[65.3±10.5]min），the differences were statistically significant （P0.05）.There was no significant difference in the VAS scores of the patients at admission and postoperative 24 h between the two groups （P0.05）.The incidence of abnormalities，serum swollen，intestinal paralysis and urinary retention in the TEP group were 5.6%，8.9%，1.1%，8.9%，the incidence of abnormalities，serum swollen，intestinal paralysis and urinary retention in the TAPP group were 8.7%，11.1%，2.4%，11.9%，the difference was statistically significant （P0.05）.The recurrence rate within 6 months after operation in the TEP group was 8.89%，which was higher than that in the TAPP group （3.10%），with signifi