单孔腹腔镜下完全腹膜外修补术治疗成人腹股沟疝的效果

Effect of single port laparoscopic total extraperitoneal repair on adult patients with inguinal hernia

目的分析单孔腹腔镜下完全腹膜外修补术(TEP)治疗成人腹股沟疝的临床效果。方法将2018年4月至2019年4月灵宝市第一人民医院收治的82例腹股沟疝患者的临床资料按照交替分组法分为两组,每组41例。对照组接受常规腹腔镜下腹膜外修补术,观察组接受单孔腹腔镜下完全腹膜外修补术治疗。观察两组围术期指标、术后并发症发生情况,随访1年后复发情况。结果两组住院时间比较差异未见统计学意义(P>0.05);观察组VAS评分及术中出血量均低于对照组,而手术时间短于对照组(P均<0.05)。与对照组(19.51%,8/41)比较,观察组术后并发症总发生率(4.88%,2/41)较低(P<0.05)。两组复发率比较差异未见统计学意义(P>0.05)。结论单孔腹腔镜下TEP应用于成人腹股沟疝患者的治疗中能够有效缩短患者恢复时间,降低术后并发症及复发率,安全有效。

Objective To analyze the clinical value of single port laparoscopic total extraperitoneal repair(TEP)on adult patients with inguinal hernia.Methods Eighty-two patients with inguinal hernia admitted to the First People’s Hospital of Lingbao from April 2018 to April 2019 were selected and divided into two groups according to the alternate grouping method,with 41 cases in each group.The control group received conventional laparoscopic extraperitoneal repair,and the observation group received single port laparoscopic total extraperitoneal repair.The perioperative indexes and postoperative complications of the two groups were observed,and the recurrence rate was followed up for1 year.Results There was no significant difference in hospitalization time between the two groups(P>0.05);the VAS score and intraoperative blood loss of the observation group were lower than those of the control group,while the operation time was shorter than that of the control group(all P<0.05).Compared with the control group(19.51%,8/41),the total incidence of postoperative complications in the observation group(4.88%,2/41)was lower(P<0.05).There was no significant difference in recurrence rate between the two groups(P>0.05).Conclusions Single port laparoscopic TEP in the treatment of adult inguinal hernia patients can effectively shorten the recovery time,reduce postoperative complications and recurrence rate,which is safe and effective.