腹腔镜下完全腹膜外疝修补术对腹股沟疝患者术后血气分析指标及并发症的影响

Effect of Laparoscopic Totally Extraperitoneal Prosthesis on Postoperative Blood Gas Analysis Index and Complications in the Treatment of Patients with Inguinal Hernia

目的:探究腹腔镜下完全腹膜外疝修补术(TEP)治疗腹股沟疝对血气分析指标及并发症发生情况的影响。方法:回顾性分析2021年12月—2024年1月仁怀市人民医院收治的86例腹股沟疝患者资料,按照手术方法的不同将其分为TEP组与改良Kugel无张力疝修补术(MK)组,各43例。MK组采用MK治疗,TEP组采用TEP治疗,比较两组的血气分析指标和并发症发生情况。结果:术后,两组pH、动脉血氧分压水平均高于术前,但TEP组均低于MK组,动脉血二氧化碳分压水平均低于术前,但TEP组高于MK组,差异均有统计学意义(P<0.05)。TEP术组并发症发生率4.65%低于MK术组的18.60%,差异有统计学意义(P<0.05)。结论:TEP术治疗腹股沟疝患者,有助于改善患者血气分析指标,减少并发症。

Objective:To investigate the effect of laparoscopic totally extraperitoneal prosthesis(TEP)on the blood gas analysis index and the occurrence of complications in the treatment of inguinal hernia.Methods:Data of 86 patients with inguinal hernia admitted to Renhuai People’s Hospital from December 2021 to January 2024 were retrospectively analyzed,and were divided into a TEP group and a modified Kugel tension-free hernia repair(MK)group according to different surgical methods,with 43 cases in each group.MK group was treated with MK,TEP group was treated with TEP.The blood gas analysis indexes and complications were compared between two group.Results:After surgery,the pH and partial pressure of arterial blood oxygen in both groups were higher than before surgery,but TEP group were lower than MK group,and the partial pressure of arterial blood carbon dioxide was lower than before surgery,but TEP group was higher than MK group,with statistical significance(P<0.05).The complication rate of TEP group was 4.65%,lower than 18.60%of MK group,and the difference was statistically significant(P<0.05).Conclusion:TEP treatment of inguinal hernia is helpful to improve blood gas analysis index and reduce complications.