论文部分内容阅读
分析疝囊颈环形切开离断技术在腹腔镜经腹腹膜前疝修补术(LHR)中的应用价值.[方法]选取2017年2月至2019年3月本院收治的100例行LHR治疗的腹股沟疝患者临床资料,采用随机数字表法随机分为对照组和观察组,每组各50例.对照组患者采取经腹腹膜前疝修补术(TAPP),观察组患者行“疝囊颈环形切开离断技术”治疗.比较两组围手术期情况、术后疼痛评分、术后并发症及复发情况.[结果]观察组手术时间、术中出血量、精索血管损伤率和输精管损伤率明显低于对照组,差异有统计学意义(P<0.05).观察组术后6、12、24h的VAS疼痛评分明显低于对照组(P0.05).观察组阴囊积液发生率明显低于对照组(P<0.05).[结论]“疝囊颈环形切开离断技术”用于LHR手术能够缩短手术时间,减少术中出血量,减少精索血管和输精管损伤,减轻患者术后疼痛.该术式较传统TAPP术式操作简单,更适合基层医院开展.“,”Toanalyzethevalueoflaparoscopictransperitonealherniorrhaphy(LHR)withan-nularincisionanddisconnectionoftheneckofherniasac.[Methods]Onehundredcasesofinguinalherniatrea-tedwithLHRinourhospitalfromJanuary2017to March2019wereselectedasthestudysubjects.Thepa-tientswererandomlydividedintothecontrolgroupandtheobservationgroupwith50casesineachgroup.The patientsinthecontrolgroupweretreatedwithtransperitonealhernioplasty(TAPP)andthepatientsintheob-servationgroupweretreatedwith“annularincisionanddisconnectionofherniasacneck”.Theperioperative condition,painscore,complicationsandrecurrencewerecomparedbetweenthetwogroups.[Results]Theop-erationtimeoftheobservationgroupwassignificantlyshorterthanthatofthecontrolgroup(P<0.05),the amountofbleedingduringtheoperationwassignificantlylessthanthatofthecontrolgroup (P<0.05),and thedamageofspermaticcordvesselsandvasdeferenswassignificantlylessthanthatofthecontrolgroup(P0.05).TheVASpainscoresoftheobservationgroupat6,12and24hoursafter operationweresignificantlylowerthanthoseofthecontrolgroup(P0.05).Theincidenceofscrotaleffusionintheobservationgroupwassignificantlylowerthanthat inthecontrolgroup (P<0.05).[Conclusion]“Annularincisionanddisconnectionofherniasacneck”can shortentheoperationtime,reducetheamountofbleedingduringoperation,reducetheinjuryofspermatic cordandvasdeferens,andrelievethepainofpatientsafteroperation.ComparedtoconventionalTAPP,the operationissimplerandthusitisparticularlysuitableforgrass-rootshospitals.