不同腹膜切口闭合方法对腹腔镜腹股沟疝修补术患者手术效果和预后的影响。

Bixiang Zheng, Xiaobin Luo, Changdong Wang, Rendong Zheng, Xiaofeng Yang
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引用次数: 0

摘要

目的探讨不同腹膜撕裂闭合方法对腹腔镜腹股沟疝修补术(LIHR)患者手术效果和预后的影响。选取2019年8月-2020年12月在我院接受腹腔镜腹股沟疝修补术(LIHR)且术中出现腹膜撕裂的患者90例,根据不同的治疗方案将患者分为对照组(CG)和观察组(OG),每组45例。对照组患者采用可吸收缝合线修补腹膜裂伤,观察组患者采用双极电凝闭合修补腹膜裂伤。比较了CG组和OG组的手术情况、术后疼痛评分、生活质量评分、并发症和复发情况。CG组的手术时间和住院时间均短于OG组(P0.05)。术后并发症在两组间无明显差异(P>0.05)。手术组的物质生活、身体、社会和心理功能评分均高于手术组(P<0.05)。在一年的随访中,两组患者均无复发。用双极电凝闭合修补腹膜破裂,缩短了 TEP(全腹膜外疝成形术)手术中腹膜破裂患者的手术时间,减轻了疼痛,提高了生活质量。治疗结果安全、有效,临床应用效果极佳。
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Influence of different peritoneal incision closure methods on the operative outcomes and prognosis of patients undergoing laparoscopic inguinal hernia repair.
The aim was to investigate the effect of different peritoneal tear closure methods on the operative outcomes and prognosis of patients undergo-ing laparoscopic inguinal hernia repair (LIHR). Ninety patients who underwent LIHR in our hospital from August 2019 to December 2020 and had peritoneal tears during the operation were selected, and the patients were divided into a control group (CG) and the observation group (OG) according to different treatment plans, with 45 cases in each group. Patients in the CG were treated with absorbable sutures to repair the peritoneal tears, while patients in the OG were treated with bipolar coagulation to close and repair the peritoneal tears. The surgical conditions, postoperative pain scores, quality of life scores, com-plications, and recurrence were compared between the CG and OG groups. The operation time and hospital stay in the OG were shorter than those in the OG (p<0.05). The pain scores in the OG at 24 hours after operation were lower than those in the CG (p<0.05), and the pain scores of the two groups were not significantly different at two hours and 12 hours (p>0.05). Postoperative complications were not significantly different between the groups (p>0.05). The scores of material life, physical, social, and psychological function in the OG were higher than in the CG (p<0.05). There were no recurrences in the two groups during the 1-year follow-up. Closing repair of peritoneal rupture with bipolar coagulation reduces the operation time of patients with peritoneal rup-ture during TEP (total extraperitoneal hernioplasty) operations, reduces pain, and improves their quality of life. The treatment outcome is safe, effective, and has an excellent clinical application effect.
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