CAJ | 학술논문

目的：探讨腹腔镜经腹腹膜前补片植入术（ TAPP ）治疗腹股沟疝的临床疗效和安全性。方法：选取2010年4月至2013年2月我院收治的86例腹股沟疝患者，随机平均分为两组，对照组和实验组，用传统的无张力疝修补术治疗对照组患者，用腹腔镜经腹腹膜前补片植入术治疗实验组患者，观察两组患者手术时间，术后1d疼痛评分，术后对患者随访3个月，记录两组患者术后住院时间、并发症发生率。结果：实验组手术时间、住院时间和术后1d疼痛评分均优于对照组，t 值分别为12．19、9．17、13．60（P＜0．05），差异有统计学意义；实验组发生并发症例数为3例，发生率6．98％，明显低于对照组发生并发症例数为9例，发生率20．93％，X2＝4．49，P＜0．05，差异有统计学意义。结论：腹腔镜经腹腹膜前补片植入术治疗腹股沟疝不仅具有创伤小、疼痛轻、恢复快、复发率低等优势，而且其最大限度地缩小和隐蔽手术疤痕，达到美容效果，在临床手术中有十分大的应用价值。
목적：탐토복강경경복복막전보편식입술（ TAPP ）치료복고구산적림상료효화안전성。방법：선취2010년4월지2013년2월아원수치적86례복고구산환자，수궤평균분위량조，대조조화실험조，용전통적무장력산수보술치료대조조환자，용복강경경복복막전보편식입술치료실험조환자，관찰량조환자수술시간，술후1d동통평분，술후대환자수방3개월，기록량조환자술후주원시간、병발증발생솔。결과：실험조수술시간、주원시간화술후1d동통평분균우우대조조，t 치분별위12．19、9．17、13．60（P＜0．05），차이유통계학의의；실험조발생병발증례수위3례，발생솔6．98％，명현저우대조조발생병발증례수위9례，발생솔20．93％，X2＝4．49，P＜0．05，차이유통계학의의。결론：복강경경복복막전보편식입술치료복고구산불부구유창상소、동통경、회복쾌、복발솔저등우세，이차기최대한도지축소화은폐수술파흔，체도미용효과，재림상수술중유십분대적응용개치。
Objective:To observe clinical efficacy and safety of the transabdominal approach with sta-pled pre-peritonealmesh repair .Method: 86 cases with inguinal hernia patients in our hospital from April 2010 to February 2013 were randomly divided into two groups: control group and experimental group .The control group was treated with traditional hernia repair treatment , and the experimental group was treated with transabdominal approach with stapled pre-peritonealmesh repair , the two groups were observed opera-tive time, postoperative pain scores one day after operation , patients were followed up for three months , re-corded two groups of postoperative hospitalization time , complications rate .Result: The experimental group was much better than the control group on the operative time , length of hospital stay and postoperative one day after operation pain scores, The value of test was respectively was 12.19,9.17, 13.60( P<0.05),the difference has statistically significant; complications occurred in the experimental group was 3 cases, the complication rate was 6.98%, It was significantly lower than the control group , the number of cases of com-plications occurred in 9 cases, the complication rate was 20.93%, X2=4.49, P <0.05, the difference has statistically significant .Conlcusion: The application of transabdominal approach with stapped pre -perito-nealmesh repair in inguinal hernia is not only less invasive , less pain ,faster recovery , lower relapse rate , as well as its maximum hidden scar reduction and achieve cosmetic results , it has large applications in clinical surgery.