| 许程伟,张艮龙,赵得银,等.气腹针导引加预分离技术在完全腹膜外腹股沟疝修补术中应用[J].安徽医药,2022,26(7):1377-1380. |
| 气腹针导引加预分离技术在完全腹膜外腹股沟疝修补术中应用 |
| Application of pneumoperitoneum needle guidance and pre-separation technique in complete extraperitoneal inguinal hernia repair |
| |
| DOI：10.3969/j.issn.1009-6469.2022.07.024 |
| 中文关键词: 疝修补术 疝，腹股沟 气腹，人工 二氧化碳 腹膜 麻醉肿胀液 腹腔镜检查 |
| 英文关键词: Herniorrhaphy Hernia,inguinal Pneumoperitoneum,artificial Carbon dioxide Peritoneum Anesthesia swell-ing fluid Laparoscopy |
| 基金项目: |
|
| 摘要点击次数: 938 |
| 全文下载次数: 296 |
| 中文摘要: |
| 目的探索气腹针导引并经气腹针注入麻醉肿胀液在完全腹膜外腹股沟疝修补术( totally extraperitoneal hernia re-pair，TEP)中的应用效果。方法收集宿州市立医院 2018年 1月至 2019年 12月期间外科腹股沟斜疝病人 60例，采用气腹针导引并经气腹针注入麻醉肿胀液注射组(试验组)与传统 TEP对照组各 30例，试验组在传统 TEP手术基础上应用麻醉肿胀液行预分离，对照组行传统 TEP手术。比较两组病人术中用时、出血量、腹膜破裂例数，术后疼痛、皮下与阴囊血清肿、排气及卧床用时。结果试验组手术用时( 74.17±12.27)min比( 88.70±13.26)min、腹膜破裂例数( 1比 8)、术中出血量( 13.57±5.12)mL比 |
| 英文摘要: |
| Objective To explore the application effect of pneumoperitoneum needle guidance and injecting anesthesia liquidthrough pneumoperitoneum needle in complete extraperitoneal inguinal hernia repair (totally experiperitoneal hernia repair, TEP).Methods A total of 60 patients with inguinal hernia in Department of General Surgery Suzhou Municipal Hospital from January 2018to December 2019 were selected and randomly assigned into experimental group and control group. The experimental group was guidedby pneumoperitoneum needle and injected with anesthesia solution based on traditional TEP operation, while the control group was sub-jected to traditional TEP surgery, and 30 cases in each group. The intraoperative time, amount of bleeding, number of peritoneal rup-tures, postoperative pain, subcutaneous and serom, venting, and bedtime were compared between the two groups of patients.Results Lower operating time [(74.17±12.27) min vs. (88.70±13.26) min], fewer peritoneal ruptures (1 vs. 8), intraoperative blood loss [(13.57± 5.12) mL vs. (24.30±7.62) mL], postoperative hematoma formation (0 vs. 5), and postoperative pain [(3.77±1.41) scores vs. (5.77±1.94)scores] in the experimental group were lower than those in the control group, and the difference was statistically significant (P<0.05). Conclusions Compared with traditional TEP, Guided by pneumoperitoneum needle and injected with anesthesia solution on TEP cansignificantly reduce the difficulty of surgery, shorten the operation time, and reduce the occurrence of intraoperative and postoperativecomplications. It is a safe and effective surgical method. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
