经腹直肌悬吊技术预防腹腔镜腹股沟直疝修补术后血清肿的价值

Value of Transrectus Abdominis Suspension Technique in Preventing Seroma after Laparoscopic Direct Inguinal Hernia Repair

目的:探讨腹腔镜腹股沟直疝修补术联合经腹直肌悬吊技术预防血清肿的价值。方法:对本院2019年5月-2020年5月的224例腹腔镜腹股沟直疝修补术的患者资料进行分析,按照投掷硬币法将其分为对照组(111例)和观察组(113例),对照组予常规腹腔镜腹股沟直疝修补术,观察组在对照组基础上联用经腹直肌悬吊技术,对比两组患者血清肿发生情况、血清肿积液量、围手术期相关指标及术后慢性疼痛情况。结果:术后1周、1个月及3个月,观察组血清肿发生均明显低于对照组(P<0.05)。术后1周和1个月,观察组血清肿积液量明显少于对照组(P<0.05)。两组围手术期相关指标比较差异无统计学意义(P>0.05)。观察组术后慢性疼痛发生明显低于对照组(P<0.05)。结论:腹腔镜腹股沟直疝修补术联合经腹直肌悬吊技术可以降低术后血清肿的发生,减少近期血清肿积液量,缓解慢性疼痛。

Objective:To investigate the value of laparoscopic direct inguinal hernia repair combined with transrectus abdominis suspension technique in preventing seroma.Method:From May 2019 to May 2020 in our hospital,the data of 224 patients who underwent laparoscopic direct inguinal hernia repair were analyzed.They were divided into the control group(111 cases)and the observation group(113 cases)according to the coin flipping method.The control group was treated with conventional laparoscopic direct inguinal hernia repair.The observation group was treated with transrectus suspension technique on the basis of the control group,and the occurrence of seroma,amount of seroma effusion and perioperative period were compared between the two groups.Stage-related indicators and postoperative chronic pain.Result:The incidence of seroma in the observation group was significantly lower than that in the control group at 1 week,1 month and 3 months after operation(P<0.05).At 1 week and 1 month after operation,the amount of seroma and effusion in the observation group was significantly less than that in the control group(P<0.05).There were no significant differences in perioperative related indexes between the two groups(P>0.05).The incidence of postoperative chronic pain in the observation group was significantly lower than that in the control group(P<0.05).Conclusion:Laparoscopic direct inguinal hernia repair combined with transrectus abdominis suspension technique can reduce the occurrence of postoperative seroma,reduce the amount of seroma fluid in the near future,and alleviate chronic pain.