摘要
目的:探讨腹腔镜经腹腹膜前(TAPP)疝修补术及直针“两针”连续腹膜缝合技术在腹股沟疝修补术中的临床效果和应用价值。方法:回顾性分析2016年1月—2019年1月甘肃省人民医院行腹腔镜TAPP疝修补术治疗的210例腹股沟患者的临床资料,所有病例都使用直针“两针”连续缝合技术关闭腹膜瓣。结果:所有手术均顺利完成,其中1例中转开放手术。患者手术时间30~125 min,平均(58.6±12.5)min;住院时间3~12 d,平均(6.2±2.7)d。术后尿潴留发生率2.9%(6/210),阴囊血清肿发生率3.3%(7/210),术后疼痛发生率1.4%(3/210),暂时性腹股沟区感觉异常发生率0.9%(2/210),无切口感染、肠梗阻等其他并发症发生。术后随访时间为2~24个月,患者均未出现复发。结论:腹腔镜TAPP术对腹股沟疝治疗效果显著,该手术安全可靠且具有创伤小、恢复快等优势。此外,在关闭腹膜瓣时使用直针“两针”连续腹膜缝合技术使得操作简便且节省费用,值得临床推广使用。
Objective: To explore the clinical effect and application value of laparoscopic transabdominal preperitoneal prosthesis(TAPP)and straight needle"two stitches"continuous peritoneal suturing technique in inguinal hernia repair. Methods: The clinical data of 210 patients underwent TAPP hernia repair in Gansu Provincial Hospital from Jan. 2016 to Jan. 2019 were retrospectively analyzed. All patients were used straight needle "two stitches"continuous closed peritoneal. Result:All operations were successfully completed, of which 1 case was converted to open surgery. The operation time 30-125 min, mean time(58.6±12.5)min;hospitalization time 3-12 d, mean hospitalization time(6.2±2.7)d. The incidence of postoperative urinary retention, scrotal serum swelling,postoperative pain, and temporary inguinal sensory abnormalities were 2.9%(6/210), 3.3%(7/210),1.4%(3/210), and 0.9%(2/210) respectively. No incision infection, intestinal obstruction and other complications occurred. Conclusion: Laparoscopic TAPP hernia repair has a significant effect on the treatment of inguinal hernia. The operation is safe, reliable, and has the advantages of minimal invasion and faster recovery. In addition, the use of Straight needle"two stitches"continuous peritoneal suturing when closing the peritoneal flap makes the operation simple and cost-effective, and is worthy of clinical popularizing application.
作者
张昕
顾远辉
李小飞
马世勋
金刚
ZHANG Xin;GU Yuan-hui;LI Xiao-fei;MA Shi-xun;JIN Gang(Department of General Surgery,West Campus of Gansu Provincial Hospital,Lanzhou 730050,China;Department of General Surgery,Gansu Provincial Hospital,Lanzhou 730000,China)
出处
《中国现代普通外科进展》
CAS
2021年第5期357-359,363,共4页
Chinese Journal of Current Advances in General Surgery
基金
甘肃省人民医院院内科研项目(2017-ZD-38)。
