摘要
目的比较分析腹腔镜下腹膜前疝修补术(TAPP)与Kugel术治疗腹股沟疝的效果。方法选取2016年1月—2019年1月收治的腹股沟疝患者80例作为研究对象,以数字表法将之随机均分为A组和B组,每组40例,A组采用Kugel术治疗,B组采用腹腔镜TAPP治疗,对两组患者手术情况、疼痛程度及并发症发生率进行比较分析。结果B组手术时间与A组比较差异无统计学意义(P>0.05),B组术后下床活动时间、住院时间分别为(9.85±3.27)h、(2.08±0.43)d,均比A组(15.63±4.15)h、(5.29±1.54)d明显更短(t=6.919、12.697,P<0.05);B组术后1 d、术后3 d视觉模拟评分法(VAS)评分分别为(2.98±0.42)分、(1.36±0.28)分,均比A组(3.39±0.47)分、(2.64±0.39)分明显更低(t=4.114、16.862,P<0.05);B组术后并发症发生率为7.50%,与A组10.00%的并发症发生率相比,差异无统计学意义(χ2=0.157,P>0.05)。结论临床治疗腹股沟疝采用腹腔镜下TAPP治疗更具优势,有助于促进患者恢复,减轻疼痛,且安全性高。
Objective To compare and analyze the effects of laparoscopic preperitoneal hernia repair(TAPP)and Kugel on inguinal hernia.Methods 80 patients with inguinal hernia who were treated from January 2016 to January 2019 were selected as the research subjects,and they were randomly divided into group A and group B by digital table method,with 40 cases in each group.Group A was treated with Kugel treatment,group B was treated with laparoscopic TAPP,and the surgical conditions,pain degree,and complication rate of the two groups were compared and analyzed.Results There was no statistically significant difference in the operation time between group B and group A(P>0.05).The time of getting out of bed and the length of hospital stay in group B were(9.85±3.27)h and(2.08±0.43)d,which were all higher than those in group A(15.63±4.15)h and(5.29±1.54)d were significantly shorter(t=6.919,12.697,P<0.05);the visual analogue score(VAS)scores of group B at 1 and 3 days after operation were(2.98±0.42)points and(1.36±0.28)points were significantly lower than the(3.39±0.47)points and(2.64±0.39)points of group A(t=4.114,16.862,P<0.05);postoperative complications occurred in group B was 7.50%,which was not statistically significant compared with the complication rate of 10.00%in group A(χ2=0.157,P>0.05).Conclusion Laparoscopic TAPP therapy is more advantageous in clinical treatment of inguinal hernia,which can help patients to recover,reduce pain,and has high safety.
作者
沈耀
SHEN Yao(Department of General Surgery,People's Hospital of Haimen City,Haimen,Jiangsu Province,226100 China)
出处
《世界复合医学》
2020年第3期135-137,共3页
World Journal of Complex Medicine
