切换至 "中华医学电子期刊资源库"

中华疝和腹壁外科杂志(电子版) ›› 2019, Vol. 13 ›› Issue (02) : 176 -178. doi: 10.3877/cma.j.issn.1674-392X.2019.02.020

所属专题: 文献

基层医疗

不同术式在腹股沟疝治疗中的应用分析及对患者生活质量的对比研究
曹晓刚1, 曹能琦1,()   
  1. 1. 211200 江苏省南京市溧水区人民医院普外科
  • 收稿日期:2018-10-17 出版日期:2019-04-18
  • 通信作者: 曹能琦

Analysis of different operation methods in inguinal hernia treatment and comparative study on the quality of life of patients

Xiaogang Cao1, Nengqi Cao1,()   

  1. 1. General Surgery Department, Lishui District People's Hospital of Nanjing, Nanjing 211200, China
  • Received:2018-10-17 Published:2019-04-18
  • Corresponding author: Nengqi Cao
  • About author:
    Corresponding author: Cao Nengqi, Email:
引用本文:

曹晓刚, 曹能琦. 不同术式在腹股沟疝治疗中的应用分析及对患者生活质量的对比研究[J/OL]. 中华疝和腹壁外科杂志(电子版), 2019, 13(02): 176-178.

Xiaogang Cao, Nengqi Cao. Analysis of different operation methods in inguinal hernia treatment and comparative study on the quality of life of patients[J/OL]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(02): 176-178.

目的

探讨腹腔镜经腹腹膜前疝修补术(laparoscopic trans-abdominal preperitoneal hernia repair,TAPP)和开放无张力疝修补术在腹股沟疝治疗中的效果及对患者生活质量的影响。

方法

选取2014年2月至2018年2月,江苏省南京市溧水区人民医院接受治疗的腹股沟疝患者60例,根据治疗方法不同分为TAPP组(26例)及开放手术组(34例)。随访3个月,比较2组手术指标、并发症发生情况及复发情况及生活质量评分差异。

结果

TAPP组术中出血量及术后平均最高体温较开放手术组降低,下床活动时间、术后排气时间及住院时间较开放手术组缩短,但住院费用较开放手术组升高,差异均有统计学意义(P<0.05);2组手术时间、术后复发率比较,差异无统计学意义(P>0.05)。TAPP组总并发症发生率低于开放手术组,简明健康测量量表(short form-36 health survey questionmaire,SF-36)、改良Rankin量表(Modified Rankin Scale,mRS)和巴塞尔指数(Barthelindex,BI)评分均显著高于开放手术组,差异均有统计学意义(P<0.05)。

结论

TAPP治疗腹股沟疝可加速患者预后恢复,降低并发症发生率,提高患者生活质量,但手术时间较长,费用较高。

Objective

To investigate the effect of transabdominal preperitoneal repair (TAPP) and open tension-free hernia repair in inguinal hernia treatment and intervention on patients' quality of life.

Methods

60 cases of inguinal hernia patients treated in Lishui District People's hospital were selected and divided into two groups: TAPP group (n=26) and open operation group (n=34) according to the different treatment methods. The surgical indexes, complications and recurrence were compared between the two groups. All were followed up for 3 months, and the difference of quality of life score between the two groups was compared.

Results

The intraoperative bleeding volume and average maximum body temperature in TAPP group were lower than those in open operation group (P<0.01), the time of getting out of bed, exhaust after operation and hospitalization were shorter than those of open operation group (P<0.01), but the cost of hospitalization increased compared with the open operation group (P<0.01), there were no significant differences in the operation time and recurrence rate between the two groups (P>0.05). The incidence of total complications in TAPP group was lower than that in open operation group (P<0.01) and the scores of SF-36, mRS and BI in TAPP group were significantly higher than those in open operation group (P<0.01).

Conclusion

TAPP in the treatment of inguinal hernia can accelerate the recovery of prognosis, reduce the incidence of complications and improve the quality of life, but the operation time is longer and cost is higher.

表1 2组手术相关指标比较(±s
表2 2组术中及术后并发症发生情况[例(%)]
表3 2组生活质量评分比较(分,±s
[1]
张云,郝晓晖,李健文, 等. 腹腔镜腹股沟疝修补术治疗老年腹股沟疝的临床疗效[J]. 中华消化外科杂志, 2016, 15(10): 967-971.
[2]
Patterson A L, Thomas B, Franklin A, et al. Transabdominal Preperitoneal Repair of Spigelian Hernia[J]. Am Surg, 2016, 82(1): 18-19.
[3]
中华医学会外科学分会疝和腹壁外科学组. 成人腹股沟疝股疝手术治疗方案(修订稿)[J]. 腹部外科, 2004, 17(1): 126-126.
[4]
Muschalla F, Schwarz J, Bittner R. Effectivity of laparoscopic inguinal hernia repair(TAPP) in daily clinical practice: early and long-term result[J]. Surg Endosc, 2016, 30(11): 1-10.
[5]
叶小勇,张帆,陈新岐, 等. 腹腔镜无张力疝修补术治疗老年双侧腹股沟疝32例分析[J]. 贵州医药, 2015, 39(7): 609-610.
[6]
杨栋,吴晓明,刘丰, 等. 腹股沟疝腹腔镜下修补术与无张力修补术应用于老年患者的综合疗效研究[J]. 现代生物医学进展, 2016, 16(18): 3492-3495.
[7]
Sarakatsianou C, Georgopoulou S, Baloyiannis I, et al. Spinal versus general anesthesia for transabdominal preperitoneal(TAPP) repair of inguinal hernia: Interim analysis of a controlled randomized trial[J]. Am J Surg, 2017, 214(2): 239-245.
[8]
Ielpo B, Duran H, Diaz E, et al. A Randomized clinical trial of laparoscopic trans-abdominal preperitoneal(TAPP) vs open lichtenstein repair for bilateral inguinal hernias[J]. J Am Colof Surg, 2016, 223(4): 18-18.
[9]
Tokumura H, Nomura R, Saijo F, et al. Tumescent TAPP: laparoscopic inguinal hernia repair after the preperitoneal tumescent injection of diluted lidocaine and epinephrine saline solution and carbon dioxide gas[J]. Surg Today, 2017, 47(1): 52-57.
[10]
Simons MP, Aufenacker T, Baynielsen M, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients[J]. Hernia, 2014, 13(4): 151-163.
[1] 许杰, 李亚俊, 韩军伟. 两种入路下腹腔镜根治性全胃切除术治疗超重胃癌的效果比较[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 19-22.
[2] 高杰红, 黎平平, 齐婧, 代引海. ETFA和CD34在乳腺癌中的表达及与临床病理参数和预后的关系研究[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 64-67.
[3] 李代勤, 刘佩杰. 动态增强磁共振评估中晚期低位直肠癌同步放化疗后疗效及预后的价值[J/OL]. 中华普外科手术学杂志(电子版), 2025, 19(01): 100-103.
[4] 梁孟杰, 朱欢欢, 王行舟, 江航, 艾世超, 孙锋, 宋鹏, 王萌, 刘颂, 夏雪峰, 杜峻峰, 傅双, 陆晓峰, 沈晓菲, 管文贤. 联合免疫治疗的胃癌转化治疗患者预后及术后并发症分析[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 619-623.
[5] 张志兆, 王睿, 郜苹苹, 王成方, 王成, 齐晓伟. DNMT3B与乳腺癌预后的关系及其生物学机制[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 624-629.
[6] 屈翔宇, 张懿刚, 李浩令, 邱天, 谈燚. USP24及其共表达肿瘤代谢基因在肝细胞癌中的诊断和预后预测作用[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 659-662.
[7] 顾雯, 凌守鑫, 唐海利, 甘雪梅. 两种不同手术入路在甲状腺乳头状癌患者开放性根治性术中的应用比较[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 687-690.
[8] 付成旺, 杨大刚, 王榕, 李福堂. 营养与炎症指标在可切除胰腺癌中的研究进展[J/OL]. 中华普外科手术学杂志(电子版), 2024, 18(06): 704-708.
[9] 李伟, 宋子健, 赖衍成, 周睿, 吴涵, 邓龙昕, 陈锐. 人工智能应用于前列腺癌患者预后预测的研究现状及展望[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(06): 541-546.
[10] 关小玲, 周文营, 陈洪平. PTAAR在乙肝相关慢加急性肝衰竭患者短期预后中的预测价值[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 841-845.
[11] 张润锦, 阳盼, 林燕斯, 刘尊龙, 刘建平, 金小岩. EB病毒相关胆管癌伴多发转移一例及国内文献复习[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 865-869.
[12] 陈晓鹏, 王佳妮, 练庆海, 杨九妹. 肝细胞癌VOPP1表达及其与预后的关系[J/OL]. 中华肝脏外科手术学电子杂志, 2024, 13(06): 876-882.
[13] 刘郁, 段绍斌, 丁志翔, 史志涛. miR-34a-5p 在结肠癌患者的表达及其与临床特征及预后的相关性研究[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(06): 485-490.
[14] 王景明, 王磊, 许小多, 邢文强, 张兆岩, 黄伟敏. 腰椎椎旁肌的研究进展[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 846-852.
[15] 郭曌蓉, 王歆光, 刘毅强, 何英剑, 王立泽, 杨飏, 汪星, 曹威, 谷重山, 范铁, 李金锋, 范照青. 不同亚型乳腺叶状肿瘤的临床病理特征及预后危险因素分析[J/OL]. 中华临床医师杂志(电子版), 2024, 18(06): 524-532.
阅读次数
全文


摘要