临床外科杂志 ›› 2021, Vol. 29 ›› Issue (9): 857-859.doi: 10.3969/j.issn.1005-6483.2021.09.017

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腹腔镜技术在嵌顿性腹股沟疝中的应用

  

  1. 430071 武汉,华中科技大学医院普外科(金曜、 汪翰、杨帆);华中科技大学附属协和医院胃肠外科(陶凯雄);华润武钢总医院普外科(张弦)
  • 出版日期:2021-09-20 发布日期:2021-09-20
  • 通讯作者: 汪翰,Email:76342293@qq.com
  • 基金资助:
    吴阶平医学基金(320.6750.2020-11-30)

Application of laparoscopy in incarcerated inguinal hernia

  1. Department of General Surgery,Huazhong University of Science and Technology Hospital,Wuhan 430071,China
  • Online:2021-09-20 Published:2021-09-20

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。

关键词: 腹腔镜技术, 嵌顿性腹股沟疝, 应用研究

Abstract: 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.

Key words: laparoscopic technique, incarcerated inguinal hernia, application research

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