摘要
目的比较经前入路腹膜前修补术与3D-MAX补片腹腔镜下经腹膜前腹股沟疝修补术的临床效果。方法选取宁夏医科大学总医院2016年1月至2019年1月收治的227例腹股沟疝患者,回顾分析其临床资料,按照术式分为经前入路腹膜前修补术组135例,3D-MAX补片腹腔镜下经腹膜前腹股沟疝修补术组92例,比较2组手术效果。结果腔镜组手术时间、术后排气时间及疼痛持续时间均短于经前入路腹膜前修补术组,术中出血量少于经前入路腹膜前修补术组,差异均有统计学意义(P<0.05);腔镜组术后并发症发生率为5.4%,经前入路腹膜前修补术组为11.9%,差异无统计学意义(P>0.05);腔镜组术后1个月疼痛不适感发生率为8.7%,低于经前入路腹膜前修补术组18.5%,差异有统计学意义(P<0.05);2组术后3、6个月疼痛不适感发生率比较差异无统计学意义(P>0.05)。结论3D-MAX补片腹腔镜下经腹膜前腹股沟疝修补术与经前入路腹膜前修补术均可有效治疗腹股沟疝,前者恢复更快,临床可以推广与使用。
Objective To compare the clinical effects of anterior preperitoneal repair and laparoscopic transabdominal preperitoneal inguinal hernia repair with 3D-MAX mesh.Methods The subjects of this study were 227 patients with inguinal hernia admitted to General Hospital of Ningxia Medical University from January 2016 to January 2019.The clinical data were retrospectively analyzed and grouped according to the surgical method.Among them,135 patients received the anterior preperitoneal repair.The laparoscopic transabdominal preperitoneal inguinal hernia repair with 3D-MAX mesh was performed in 92 cases,and the surgical effects of the two groups were compared.Results The operation time,postoperative exhaust time and pain duration of the laparoscopic group were shorter than those of the anterior preperitoneal repair group.The intraoperative blood loss of the laparoscopic group was less than that of the anterior preperitoneal repair group.The incidence of postoperative complications was 5.4%in the laparoscopic group,and 11.9%in the anterior preperitoneal repair group,and the difference was no significant(P>0.05);The incidence of pain and discomfort at 1 month after operation in the laparoscopic group was 8.7%,which was lower than the 18.5%in the anterior preperitoneal repair group,and the difference was significantly different(P<0.05).The incidence of pain and discomfort at 3 and 6 months after surgery was comparable between the two groups(P>0.05).Conclusion The 3D-MAX mesh can be used to treat inguinal hernia effectively via laparoscopic preperitoneal inguinal hernia repair and anterior preperitoneal approach.The former can recover faster and can be promoted and used clinically.
作者
钱海权
倪睿
陈申思
俞永涛
Qian Haiquan;Ni Rui;Chen Shensi;Yu Yongtao(Department of Gastrointestinal Surgery,General Hospital of Ningxia Medical University,Yinchuan 750004,China)
出处
《中华疝和腹壁外科杂志（电子版）》
2020年第5期549-552,共4页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
