腹腔镜下经腹腔的腹膜前修补术治疗腹股沟疝的临床效果

打开文本图片集

Clinical Effect of Laparoscopic Transabdominal Preperitoneal Herniorrhaphy for Inguinal Hernia/LI Guorong，HUANG He， ZHOU Yuan.//Medical Innovationof China，2025，22（17）： 097-101

[Abstract]Objective： To investigate the effect of laparoscopic transabdominal preperitoneal herniorrhaphy in the treatmentof inguinal hernia.Method：A totalof 104 inguinal hernia patients fromJanuary 2O21 toFebruary 2023 inthe Department of SurgeryIIof were selected asthe study subjects and divided into two groups according to the random number table method.The control group （52 cases）received open tension-free hernioplasty，while the observation group （52 cases）received transperitoneal preperitoneal hernioplasty.The surgical condition，postoperative pain，complications and recurrnce rate，qualityof life，treatment satisfaction of the two groups were observed.Result： The intraoperative blood lossof the observation group was less than thatof the control group，the time ofanal exhaust and ambulation were earlier than those of the control group，and the length of hospital stay was shorter than that of the control group （ P <0.05）; the pain scores at 12，24and 48 h after operation were significantly lower than those in the control group （ P <0.05）; the incidence of complications in the observation group was significantly lower than that in the control group（ P <0.05）; the scores of all dimensions of SF-36 in the observation group were significantly higher than those in the control group （ P <0.05）; thesatisfactionwassignificantly higher than that of the control group（ P <0.05）. There was no recurrence in both groups.Conclusion： Laparoscopic transabdominal preperitoneal herniorrhaphy for inguinal herniacanoptimize the surgical procedure，improvetherelevant surgical indicators，reduce postoperative pain，reduce the incidenceof complications， no recurrence，shorten the postoperative rehabilitation cycle， improve the qualityof life，and patients with more satisfaction with the treatment experience.

[Key Words] Inguinal herniaLaparoscopic transabdominal preperitoneal herniorrhaphyPostoperative painComplicationsQuality of life

First-author's address： Department of Surgery II， Hospital of ，33110o，China doi：10.3969/j.issn.1674-4985.2025.17.022

腹股沟疝是指腹腔内脏器通过腹股沟区的薄弱处、缺损空隙向体表或阴囊突出并形成包块的一种疾病[1。（剩余6960字）