摘要
目的探讨腹腔镜经腹腹膜前疝修补术(TAPP)中腹腔内三点缝合法固定补片的临床疗效。方法回顾性分析2013年8月至2015年7月,清华大学第一附属医院120例初发单侧腹股沟疝患者行TAPP手术治疗的临床资料,对术中所采用的腹腔内三点缝合法和医用胶两种补片固定方式进行随机对照试验,术后随访12~14个月。结果 2组患者在复发率、术后慢性疼痛及血清肿发生率、手术时间、术后住院天数的比较,差异均无统计学意义(P>0.05),医用胶组的住院费用显著高于缝合组,2组比较差异有统计学意义(P<0.05)。2组患者于术后1、3、5、7、14 d的疼痛评分比较,差异均无统计学意义(P﹥0.05)。结论 TAPP术中使用腹腔内三点缝合法固定补片安全可靠,经济实用,术后并发症少,复发率低。
Objective To investigate and evaluate the clinical effects of employing the technique of mesh fixation with intraabdominal tri-suture in laparoscopic transabdominal preperitoneal hernia repair （TAPP）. Methods 120 cases of primary unilateral inguinal hernia treated by TAPP were retrospectively analyzed during August 2013 to July 2015 in the First Affiliated Hospital of Tsinghua University. The groups of this randomized controlled trial were assigned by the fixation methods between intraabdominal tri-suture technique and component medical adhesive, and the patients were postoperatively followed-up for 12 to 14 months. Results No significant differences were observed between the two groups with respect to the recurrence rate, the incidence of postoperative seroma, chronic pain, the operation time and the length of hospitalization （P 〉 0.05 ）. The average hospitalization cost was significantly lower when the intraabdominal tri-suture technique was utilized in contrast to the component medical adhesive （ P 〈 0.05 ）. There was no significant difference in pain scores between the two groups at 1, 3, 5, 7, and 14 days after operation （ P 〉0. 05 ）. Conclusion The mesh fixation with intraabdominal tri-suture in TAPP was a safe, reliable, economical and practical technique, with less complications and lower recurrence rate.
出处
《中华疝和腹壁外科杂志（电子版）》
2017年第1期17-20,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
疝修补术
补片固定
Hernia, inguinal
Herniorrhaphy
Mesh fixation
