武警官兵腹股沟疝修补术不同术式应用的回顾性研究

摘要
图/表
参考文献(7)
相关文章 (15)

全文: PDF (705 KB) RICH HTML
输出: BibTeX | EndNote (RIS)

摘要目的比较经腹腔腹膜前腹股沟疝修补术(transabdominal preperitoneal,TAPP)、完全腹膜外腹股沟疝修补术(totally extraperitoneal,TEP)和常规腹股沟疝修补术的优缺点,探讨应用于武警官兵的术式选择。方法回顾性分析2012-01至2018-01医院治疗武警官兵腹股沟疝的临床资料,总结手术疗效、并发症及术后恢复效果。结果 128例均成功完成手术。TAPP组手术时间明显长于常规手术组及TEP组(P<0.05)。常规手术组术后住院时间明显长于TAPP组及TEP组(P<0.05)。常规手术组第2天VAS评分明显高于TAPP、TEP组(P<0.05)。术后1个月,常规手术组在IPQ评分0分、参加日常训练及固定执勤任务、参加3 km越野跑的比例明显低于TAPP、TEP组(P<0.05)。术后3个月,常规手术组参加3 km越野跑的比例仍明显低于TAPP组、TEP组(P<0.05)。结论腹腔镜下腹股沟疝修补手术具有微创、疼痛轻、恢复快、并发症少等优点,武警官兵能较早恢复日常训练及执勤任务,特别是TEP术式更值得部队医院推广。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	聂勇
	王晓瑾
	常浩生
	黄建锋
	钱林枫

关键词 ：腹腔镜, 疝, 腹股沟, 疝修补术

Abstract：Objective To compare the advantages and disadvantages of transabdominal preperitoneal (TAPP), totally extraperitoneal (TEP) and conventional inguinal herniorrhaphy, and to explore the selection of surgica Methods for military inpatients.Methods The clinical data of cases of inguinal hernia treated in our hospital from January 2012 to January 2018 was analyzed retrospectively, and the operative effect, complications and postoperative recovery were summarized.Results Operations on 128 cases were successful. The duration of surgery in TAPP group was significantly longer than that in conventional operation group and TEP group (P<0.05). The postoperative length of hospital stay in the conventional operation group was longer than that in TAPP group and TEP group (P<0.05). The VAS score of conventional operation group was significantly higher than that of TAPP group and TEP group on the second day (P<0.05). One month after operation, the number of cases with an IPQ score of 0 and involved in daily training, fixed duty and 3-kilometer cross-country running in the conventional operation group was significantly smaller than that in TAPP group and TEP group(P<0.05). At 3 months after operation, the number of cross-country runners in the conventional operation group was significantly smaller than that in TAPP group and TEP group (P<0.05).Conclusions Laparoscopic inguinal hernia repair has the advantages of minimal invasion, mild pain, quick recovery and fewer complications. Military inpatients can resume their daily training and duty earlier. TEP operations are worth popularizing in military hospitals.

Key words： laparoscopy hernia, inguinal hernia hernia repair

收稿日期: 2018-07-10

ZTFLH:

R656.2

通讯作者: 王晓瑾,E-mail:283240602@qq.com

作者简介: 聂勇,硕士,副主任医师。

引用本文:

聂勇, 王晓瑾, 常浩生, 黄建锋, 钱林枫. 武警官兵腹股沟疝修补术不同术式应用的回顾性研究[J]. 武警医学, 2018, 29(11): 1032-1035. NIE Yong, WANG Xiaojin, CHANG Haosheng, HUANG Jianfeng, QIAN Linfeng. Retrospective study of different surgical procedures for inguinal hernia repair of military inpatients. Med. J. Chin. Peop. Armed Poli. Forc., 2018, 29(11): 1032-1035.

链接本文:

http://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 http://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2018/V29/I11/1032

[1]	孙中伟,沈海玉,李戈,等.腹腔镜经腹腹膜前和全腹膜外途径腹股沟疝修补术的应用选择[J].中华疝和腹壁外科学杂志(电子版),2016,10(5):376-378.
[2]	Fränneby U, Gunnarsson U, Andersson M, et al. Validation of an inguinal pain questionnaire for assessment of chronic pain after groin hernia repair [J]. Br J Surg, 2008, 95(4): 488-493.
[3]	Simons M P, Aufenacker T, Bay-Nielsen M, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients[J]. Hernia, 2009, 13(4): 343-403.
[4]	中华医学会外科分会腹腔镜与内镜外科学组,中华医学会外科分会疝与腹壁外科学组,大中华腔镜疝外科学院.腹股沟疝腹腔镜手术规范化操作指南[J]. 中国实用外科杂志, 2013,7(33): 566-570.
[5]	孙艳军,龚仁华,钟兴国,等.耻骨肌孔解剖结构对腹腔镜腹股沟疝修补术的意义[J].武警医学,2016,27(12): 1193-1195.
[6]	成晓舟,屈坤鹏,景恩义,等.腹腔镜经腹腹膜前疝修补术中采取疝囊剥离与横断处理治疗型腹股沟疝的对比研究[J].腹腔镜外科杂志,2016,21(10): 780-782.
[7]	Feng B, He Z R, Li J W, et al. Feasibility of incremental laparoscopic inguinal hernia repair development in China: an 11-year experience [J]. J Am Coll Surg, 2013, 216(2): 258-265.