腹腔镜经腹膜前疝修补术治疗成人腹股沟疝的效果分析

Effects of laparoscopic transabdominal preperitoneal prosthesis on adults with inguinal hernia

目的:探究腹腔镜经腹膜前疝修补术(TAPP)治疗成人腹股沟疝(IH)的效果。方法:选取90例成人IH患者,按照随机数字表法分为A组和B组,每组各45例。A组应用开放式无张力疝修补术(TFH)治疗,B组应用TAPP治疗,比较两组手术指标,术后2 h、6 h、12 h疼痛程度及术后并发症。结果:B组下床时间、胃肠功能恢复时间、住院时间均短于A组,手术时间长于A组,术中出血量少于A组(P<0.05);术后2 h、6 h、12 h两组视觉模拟疼痛(VAS)评分逐渐升高,但B组术后各时间点VAS评分均低于A组(P<0.05);B组并发症总发生率低于A组(P<0.05)。结论:TAPP治疗成人IH患者,较开放式TFH治疗效果更好。

Objective:To investigate the effects of laparoscopic transabdominal preperitoneal prosthesis(TAPP)on adults with inguinal hernia(IH).Methods:A total of 90 adult IH patients were selected and randomized into Group A and Group B,each with 45 cases.Group A was treated with open tension-free herniorrhaphy(TFH),while Group B received the treatment with TAPP.Then,the surgical indicators,pain degree and postoperative complications were compared between the two groups at 2 h,6 h and 12 h after operation.Results:The time for out-of-bed activity,recovery time of gastrointestinal function,and hospital stay in Group B were shorter than that in Group A,the operation time was longer than that in Group A,and the intraoperative blood loss was less than that in Group A(P<0.05);visual analogue pain(VAS)scores of the two groups increased gradually at 2 h,6 h and 12 h after surgery,but VAS score of Group B were lower than that of Group A at each time point after surgery(P<0.05);and the total incidence of complications in Group B was lower than that in Group A(P<0.05).Conclusion:Compared with TFH,TAPP is more effective in the treatment of adult IH patients.