腹腔镜下经腹膜前间隙腹股沟疝修补术与传统无张力修补术治疗腹股沟疝的效果及对患者并发症发生率的影响

Effects of laparoscopic transabdominal preperitoneal prosthesis and traditional tension-free hernioplasty in the treatment of inguinal hernia and the influence on the incidence of complications

目的探究腹腔镜下经腹膜前间隙腹股沟疝修补术(TAPP)与传统无张力修补术治疗腹股沟疝(IH)的效果及对患者并发症发生率的影响。方法选取2021年2—10月樟树市人民医院收治的100例腹股沟疝患者作为研究对象,按照随机数字表法分为观察组与对照组,每组50例。对照组给予传统无张力修补术治疗,观察组给予TAPP治疗。比较两组围手术期指标、疼痛程度、生命质量、并发症发生情况、复发情况。结果观察组手术时间长于对照组,住院费用多于对照组,术中出血量少于对照组,术后下床活动时间、胃肠功能恢复时间及住院时间均明显短于对照组,差异有统计学意义(P<0.05)。术后第1天、1周、1个月,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05);术后3个月,两组VAS评分比较差异无统计学意义。术后3个月,两组生理功能、生理职能、躯体疼痛、健康状况、精力、社会功能、情感职能、精神健康评分均高于术前,且观察组高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率为8.00%,低于对照组的24.00%,差异有统计学意义(P<0.05)。术后1周、随访6个月,两组复发率比较差异无统计学意义。结论TAPP与传统无张力修补术均能有效治疗IH患者,但TAPP术后并发症发生率较低,住院时间较短,值得临床推广应用。

Objective To investigate the effects of laparoscopic transabdominal preperitoneal prosthesis(TAPP)and traditional tension-free hernioplasty in the treatment of inguinal hernia(IH)and the influence on the incidence of complications of paitent.Methods A total of 100 patients with IH who were admitted to Zhangshu People's Hospital from February to October 2021 were selected as the study subjects,they were divided into the observation group and the control group according to the random number table method,with 50 cases in each group.The control group underwent traditional tension-free hernioplasty while observation group underwent TAPP.The perioperative indicators,pain degree,quality of life,the incidence of complications and recurrence were compared between the two the groups.Results The operation time in the observation group was longer than that in the control group,the hospitalization cost was more than that in the control group,the intraoperative blood loss was less than that in the control group,the postoperative ambulation time,gastrointestinal function recovery time and hospitalization time were significantly shorter than those in the control group,the differences were statistically significant(P<0.05).On the 1 st day,1 week and 1 month after operation,the VAS scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05);there was no significant difference in VAS score between the two groups at 3 months after operation.At 3 months after operation,the scores of physiological function,physiological function,physical pain,health status,energy,social function,emotional function and mental health of the two groups were higher than those before operation,and the observation group was higher than the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was 8.00%,which was lower than 24.00%in the control group,the difference was statistically significant(P<0.05).There was no significant difference in recurrence rate between the two groups at 1 week after operation and 6 months of follow-up.Conclusion TAPP and traditional tension-free hernioplasty both can effectively treat IH,but TAPP has a lower incidence of postoperative complications and shorter hospital stay,which is worthy of clinical promotion and application.