摘要
目的探讨应用可吸收生物补片行腹腔镜全腹膜外修补(LTEP)术治疗腹股沟疝的效果。方法回顾性分析2015年9月-2016年9月中国医科大学附属盛京医院收治的采用可吸收生物补片行LTEP术治疗的19例腹股沟疝患者的临床资料。观察患者的平均手术时间、平均切口疼痛时间、平均术后排气时间、平均住院时间、平均手术费用,以及术后长期慢性疼痛、术后并发症情况及复发率。结果19例患者手术均获得成功,平均手术时间为(35.0±4.0)min,平均切口疼痛时间为(1.5±0.6)d,平均术后排气时间为(1.5±1.2)d,平均住院时间为(4.5±0.9)d,平均手术费用为(23 534.6±1 259.9)元。2例患者术后出现阴囊肿胀,1例患者术后出现切口脂肪液化。所有患者电话随访1年,无复发、无严重并发症及慢性疼痛不适发生。结论应用可吸收生物补片行LTEP术是治疗腹股沟疝良好、可靠的方式,术后患者疼痛时间短,并发症发生率低,近期随访无复发,近期疗效满意,是治疗腹股沟疝可靠的方法,但费用较高,可根据年龄、个体化需要酌情选用。
Objective To investigate the effect of laparoscopic total extraperitoneal tension-free hernia repair (TEP) in the treatment of inguinal hernia with absorbable biological mesh.Methods A retrospective analysis of the clinical data of 19 patients with inguinal hernia with biological mesh was performed from September 2015 to September 2016 in Shengjing Hospital of China Medical University.The average operative time,average incision pain time,average postoperative venting time,average hospital stay,average operative cost,and long-term chronic pain,postoperative complications,and recurrence rate were observed.Results All the 19 patients were successfully operated.The average operation time was (35.0 ± 4.0) min,the average incision pain time was (1.5 ± 0.6) d,and the average postoperative venting time was (1.5 ± 1.2) d.The average hospital stay was (4.5 ±0.9) d,the average surgery cost was (23 534.6 ± 1 259.9) yuan.Two patients developed swelling of the scrotum after surgery,and one patient developed postoperative fat liquefaction.All patients were followed up for 1 year by telephone,with no recurrence,no serious complications,and chronic pain discomfort.Conclusions The application of absorbable biopsy TEP is a good and reliable way to treat inguinal hernia.Postoperative patients have mild pain and low complication rate.There is no recurrence in recent follow-up,and the short-term effect is satisfactory.It is a reliable method for the treatment of inguinal hernia.The cost is high,and can be selected according to age and individual needs.
作者
李树强
赵文嫣
刘宝林
Li Shuqiang;Zhao Wenyan;Liu Baolin(Department of General Surgery,Shengjing Hospital of China Medical University,Shenyang 110004,China)
出处
《国际外科学杂志》
2019年第1期57-60,F0004,共5页
International Journal of Surgery
关键词
疝
腹股沟
腹腔镜
腹腔镜全腹膜外修补术
生物补片
无张力修补
Hernia,inguinal
Laparoscopes
Laparoscopie totally extraperitoneal repair
Biological mesh
Tension-free repair
