摘要
目的 探究腹腔镜下腹膜前腹股沟疝补片修补术(transabdominal preperitoneal, TAPP)的效果。方法选取2018年1月—2023年1月盐城市大丰人民医院胃肠外科收治的腹股84例沟疝者为研究对象。依手术方案分为对照组(开放无张力疝修补,42例)及观察组(TAPP手术,42例),比较两组围术期情况,炎症反应及身心健康状态。结果 观察组在手术、术后恢复过程多项指标上,显著优于对照组,差异有统计学意义(P<0.05);观察组的身心状态相关量表评分显著低于对照组,差异有统计学意义(P<0.05);观察组术后的IL-6(4.38±1.85)ng/L、TNF-α(45.27±6.02)μg/L、CRP(0.81±0.33)ng/L较对照组(6.47±1.09)ng/L、(51.59±5.06)μg/L、(1.27±0.22)ng/L更低,差异有统计学意义(t=6.308、10.221、7.517,P<0.05)。结论 对腹股沟疝患者做TAPP手术的效果较传统疝修补更理想,手术过程更顺利、康复更迅速,不仅能减少炎症反应,还可维持身心健康。
Objective To explore the effect of transabdominal preperitoneal(TAPP)hernia patch repair.Methods Eighty-four patients with abdominal and femoral gully hernia admitted to the Department of Gastrointestinal Surgery of Dafeng People´s Hospital from January 2018 to January 2023 were selected.According to the surgical plan,they were divided into a control group(42 cases of open tension free hernia repair)and an observation group(42 cases of TAPP surgery).The perioperative conditions,inflammatory reactions,and physical and mental health status of the two groups were compared.Results In the observation group,several indicators of surgery and postoperative recovery process,sig‐nificantly better than that in the control group,the difference was statistically significant(P<0.05);The physical and mental state correlation scale scores in the observation group were significantly lower than the control group,the differ‐ence was statistically significant(P<0.05);The postoperative IL-6(4.38±1.85)ng/L,TNF-α(45.27±6.02)μg/L and CRP(0.81±0.33)ng/L in the observation group were lower than the control group(6.47±1.09)ng/L,(51.59±5.06)μg/L,(1.27±0.22)ng/L,the difference was statistically significant(t=6.308,10.221,7.517,P<0.05).Conclusion The effect of TAPP surgery on patients with inguinal hernia is more ideal than that of traditional hernia repair.The operation pro‐cess is smoother and recovery is faster.It can not only reduce inflammation,but also maintain physical and mental health.
作者
李小军
冯永江
单保安
LI Xiaojun;FENG Yongjiang;SHAN Baoan(Department of Gastrointestinal Surgery,Dafeng People's Hospital,Dafeng,Jiangsu Province,224100 China)
出处
《系统医学》
2023年第9期133-136,共4页
Systems Medicine
