摘要
目的了解可视化穿刺器联合细长针缝合对腹腔镜腹股沟疝围手术期并发症的预防效果。方法247例诊断腹股沟疝并行腹腔镜手术治疗患者根据trocar端口缝合方法分为观察组(n=88)、对照A组(n=87)、对照B组(n=72)3组。观察组患者trocar端口采用可视化穿刺器联合细长针穿刺缝合;对照A组患者trocar端口采用体外直视下常规缝合,对照B组患者trocar端口采用30°腹腔镜辅助下联合细长针穿刺缝合。比较各组患者的一般情况、手术因素、术后相关并发症等。结果观察组和对照A、B组在术中脏器损伤、关闭trocar端口时间、术后术口出血的差异有统计学意义(P<0.01或0.05),其余指标差异无统计学意义(P>0.05)。结论可视化穿刺器联合细长针穿刺缝合trocar端口可有效预防腹腔镜疝围手术期并发症的发生。
Objective To investigate the effect of visual puncture device combined with fine needle in the prevention of perioperative complications of laparoscopic hernia surgery.Methods A total of 247 patients diagnosed with inguinal hernia and received laparoscopic surgery were divided into the Observation Group(n=88),Control Group A(n=87) and Control Group B(n=72).The Observation Group was sutured with visual puncture device combined with slim needle at trocar port;The Control Group A received conventional suturing under external direct vision at trocar port;The Control Group B received 30°laparoscopic assistance combined with slim needle puncture and suture at trocar port.The general situation,operative factors and postoperative complications of all three groups were observed and compared.Results There were significant differences in intraoperative organ injury,trocar port closing time and postoperative bleeding between the Observation Group,the Control Group A and the Control Group B(P<0.01 or 0.05),while there were no significant differences in other indicators(P>0.05).Conclusion Visual puncture device combined with slim needle puncture and suture can effectively prevent the occurrence of perioperative complications in laparoscopic hernia surgery.
作者
韩卓兴
陈春雷
林晖
林康强
叶志荣
HAN Zhuo-xing;CHEN Chun-lei;LIN Hui;LIN Kang-qiang;YE Zhi-rong(The Second Affiliated Hospital of Guangdong Medical University,Zhanjiang 524000,China)
出处
《广东医科大学学报》
2023年第5期532-535,共4页
Journal of Guangdong Medical University
基金
湛江市科技计划项目(2021A05111)。
关键词
可视化穿刺器
腹股沟疝
并发症
腹腔镜手术
visual puncture device
inguinal hernia
complications
laparoscopic surgery
