通过对经腹腔镜经腹腹膜前疝修补术治疗的腹股沟疝患者围手术期干预，观察其疗效。

回顾性分析2012年1月至2016年1月，中国医科大学附属第一医院收治的47例行经腹腔镜经腹腹膜前疝修补术治疗的腹股沟疝患者，所有患者于围手术期施以有效干预治疗。干预主要针对术前引发高腹压病因的控制与纠正、术后并发症的观察护理、出院后疝复发的防治及健康指导等。

本组47例患者平均手术时间为（72.7±8.3）min，平均住院时间（6.8±3.7）d。术后并发阴囊积液1例，经细针反复穿刺抽吸、阴囊抬高等干预后痊愈出院。本组患者术后随访观察6～48个月，无补片感染及疝复发等远期并发症发生。

对接受腹腔镜经腹腹膜前疝修补术治疗的腹股沟疝患者实施有效的围手术期干预，是患者的快速康复的重要保障。

To investigate the method of perioperative interventions through the observation of clinical effect of inguinal hernia patients treated by transabdominal preperitoneal prosthesis repair(TAPP).

A total of 47 patients underwent TAPP from the first affiliated hospital of China medical university between January 2012 and January 2016 were enrolled. All patients received effective intervention therapy in perioperative period. The interventions was aimed at the control and correction of preoperative cause factors of high abdominal pressure, postoperative complications nursing, prevention and treatment of hernia recurrence and health guidance, etc.

The average operation time of these 47 patients was (72.7±8.3) minutes, the average hospitalization was (6.8±3.7) days. One case complicated with scrotal effusion after surgery was cured and discharged after fine needle aspiration and scrotal elevation. This group of patients were followed up for 6 to 48 months postoperatively, No long-term complications such as patch infection and recurrence of hernia occurred.

The effective perioperative interventions to inguinal hernia patients undergoing laparoscopic transabdominal preperitoneal prosthesis repair, is an important guarantee for the rapid recovery of patients.