摘要
目的探讨TAPP术治疗成人腹股沟疝的疗效及对其炎性应激及疼痛的影响分析。方法选取安徽省宣城市人民医院收治的60例成人腹股沟疝患者,根据手术治疗方式的不同,分为研究组及对照组,各30例,其中研究组采用TAPP手术治疗,对照组采用无张力疝修补术治疗,比较2组患者临床疗效等。结果研究组术中出血量、住院时间、术后下床活动时间及术后正常活动时间均少于对照组,而手术时间较长且手术费用较高(P<0.05);研究组术后并发症发生率(10.0%)低于对照组(33.4%)(P<0.05);治疗后3 d研究组患者的炎性应激指标均较对照组改善明显(P<0.05);24、48 h研究组SF-MPQ评分均低于对照组(P<0.05)。结论 TAPP治疗成人腹股沟疝的疗效显著,同时可减小手术炎性应激反应及疼痛感,值得临床推广应用。
Objective To investigate the clinical efficacy, inflammatory response and pain associated with transabdominal preperitoneal prosthetic and tension-free hernioplasty for adult patients with inguinal hernia. Methods Sixty cases of adult patients with inguinal hernia were selected as the subjects, who were equally divided into the study group and control group. Patients in the control group were given tension-free hernioplasty while those in the study group underwent transabdominal preperitoneal prosthetic repair before the clinical efficacy was compared between the two groups. Results The relate clinical indexes in the study group were better than those of the control group (P<0.05). The rate of postoperative complications in the study group (10.0%) was lower than in the control group (33.4%)(P<0.05). The inflammatory response indexes were all better in the study group than in the control group after treatment (P<0.05). The SF-MPQ scores were all lower in the study group than in the control group after treatment (P<0.05). Conclusion The clinical effect of transabdominal preperitoneal prosthetic hernioplasty is significant for adult patients with inguinal hernia, so it is worthy of popularization and application.
作者
龚义军
任军
谢泽民
刘成栋
陈征
余亮
GONG Yijun;REN Jun;XIE Zemin;LIU Chengdong;CHEN Zheng;YU Liang(Department of General Surgery, Xuancheng People's Hospital of Anhui Province:, Xuancheng Anhui242000, China)
出处
《空军医学杂志》
2019年第4期328-330,共3页
Medical Journal of Air Force
关键词
经腹腔腹膜前腹腔镜疝修补术
无张力疝修补术
腹股沟疝
炎性应激
transabdominal preperitoneal prosthetic repair
tension-free hernioplasty
inguinal hernia
inflammatory response
