腹腔镜经腹腹膜前疝修补术临床价值分析.docVIP

腹腔镜经腹腹膜前疝修补术临床价值分析 　　[摘要]目的 分析腹腔镜经腹腹膜前疝修补术的临床价值。 方法 选取2013年8月～2014年12月我院收治的33例腹股沟疝患者为本次研究的观察组对象，均给予腹腔镜经腹腹膜前疝修补术（TAPP）治疗；并选取同期收治的30例采用开放无张力疝修补术（Lichtenstein术）治疗的腹股沟疝患者为对照组对象。对比分析两种术式的临床治疗效果。 结果 两组手术时间、术后下床活动时间、住院时间以及住院费用等方面比较，差异有统计学意义（P0.05）；观察组并发症发生率显著低于对照组，差异有统计学意义（P0.05）。 结论 腹腔镜经腹腹膜前疝修补术在治疗腹股沟疝患者中具有重要的应用价值，是一种疗效确切、安全的治疗技术，可促进患者术后恢复，且并发症发生率低，但其手术费用较高，这是该技术在临床应用受限的一个主要因素。 　　[关键词]腹腔镜；经腹腹膜前疝修补术；临床价值 　　[中图分类号] R656 [文献标识码] B [文章编号] 2095-0616（2015）18-87-03 　　[Abstract] Objective To analyze the clinical value of laparoscopy in transabdominal preperitoneal prosthesis. Methods 33 patients with inguinal hernia who were admitted to our hospital from August 2013 to December 2014 were selected as observation group， which was treated with Transabdominal Preperitoneal Prosthesis （TAPP）. 30 patients who were treated with Lichtenstein method during the same period were selected as control group. The clinical curative effect of two surgical treatments was compared. Results The differences in surgical time， time of postoperative off-bed， length of stay and Hospitalization expense of two groups were statistically significant （P0.05）. Occurrence rate of complication of observation group was significantly lower than that of control group（P0.05）. Conclusion Laparoscopy in transabdominal preperitoneal prosthesis is a safe treatment technology with significant curative effect and important application value， which can improve postoperative recovery significantly and lower occurrence rate of complication. However， the high surgery cost is a mainly factor that limit its clinical application. 　　[Key words] Laparoscopy； Transabdominal preperitoneal prosthesis； Clinical value 　　腹股沟疝是普外科常见的一种临床疾病，且多发于男性，是腹腔内脏器经腹股沟区组织缺损向体表突出而形成的疝，临床常用疝修补术治疗，但传统无张力疝修补术由于具有对患者机体创伤大、术后恢复难、并发症多且复发率高等特点，因此临床应用范围有限[1]。现阶段，随着医疗水平不断提高，微创技术广泛应用于临床治疗中。腹腔镜经腹腹膜前疝修补术治疗腹股沟疝，符合微创技术的特点，对患者创伤小、术后复发率低、并发症发生率低且切口美观，因此临床应用范围不断扩大[2]。本文主要研究了腹腔镜经腹腹膜前疝修补术的临床价值，选取收治的63例腹股沟疝患者为研究对象，分别给予腹腔镜经腹腹膜前疝修补术及Lichtenstein术治疗，现报道如下。 　　1 资料与方