自固定补片与钉合固定补片在巨大腹股沟疝行腹腔镜经腹腹膜前疝修补术中的对比研究

发布时间：2018-08-26 19:53

【摘要】：目的对比分析腹腔镜经腹腹膜前疝修补术(transabdominal preperitoneal,TAPP)手术中使用自固定补片与钉合固定补片治疗巨大腹股沟疝的临床效果。方法回顾性分析2014年1月至2016年1月首都医科大学附属北京朝阳医院京西院区疝和腹壁外科收治的共80例行TAPP手术的巨大腹股沟疝患者的临床资料,其中42例患者应用自固定补片(观察组),38例应用钉合方法固定普通补片(对照组),对比2组间手术时间、术后住院时间、住院费用、术后视觉模拟评分(visual analogue scale,VAS)、复发等术后合并症等指标。结果 2组均顺利完成手术,2组患者手术时间及复发等术后合并症差异均无统计学意义(P0.05),术后住院时间及住院费用差异有统计学意义(P0.05)。术后随访1年,2组间VAS差异有统计学意义(P0.05)。结论应用自固定补片可降低巨大腹股沟疝患者的住院费用及术后住院时间,不会增加手术时间及术后疝复发等合并症的风险,且具有术后慢性疼痛轻的优点,具有较高的临床应用价值。
[Abstract]:Objective to compare and analyze the clinical effect of laparoscopic anterior peritoneal herniorrhaphy (transabdominal preperitoneal,TAPP) with self-fixed patch and nail fixed patch in the treatment of giant inguinal hernia. Methods from January 2014 to January 2016, the clinical data of 80 patients with giant inguinal hernia undergoing TAPP operation were retrospectively analyzed. Among them, 42 cases were treated with self-fixed patch (observation group) and 38 cases were fixed with common patch (control group) by nail method. The time of operation, the time of hospitalization, the cost of hospitalization were compared between the two groups. Postoperative visual analogue score (visual analogue scale,VAS), recurrence, postoperative complications and other indicators. Results there was no significant difference in postoperative complications such as operation time and recurrence between the two groups (P0.05), but there was significant difference in postoperative hospitalization time and hospitalization cost (P0.05). There was significant difference in VAS between the two groups after 1 year follow-up (P 0.05). Conclusion the application of self-fixed patch can reduce the hospitalization cost and postoperative hospitalization time of patients with giant inguinal hernia without increasing the risk of complications such as operation time and postoperative hernia recurrence and has the advantage of mild chronic pain after operation. It has high clinical application value.
【作者单位】：首都医科大学附属北京朝阳医院京西院区疝和腹壁外科;
【分类号】：R656.21

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