| 翁晓奇 姜宇朋▲ 张伟波.两种保留子宫圆韧带法在腹腔镜经腹腹膜前腹股沟疝修补术中的临床疗效[J].中国现代医生,2021,59(19):26-29 |
| 两种保留子宫圆韧带法在腹腔镜经腹腹膜前腹股沟疝修补术中的临床疗效 |
| Clinical effects of two methods of preserving uterine round ligaments in laparoscopic transabdominal preperitoneal inguinal herniorrhaphy |
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| DOI： |
| 中文关键词: 女性 腹股沟疝 子宫圆韧带 腹腔镜疝修补术 |
| 英文关键词:Female Inguinal hernia Uterine round ligaments Laparoscopic inguinal herniorrhaphy |
| 基金项目:浙江省医药卫生科技计划项目（2020ZH053） |
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| 中文摘要: |
| 目的 探讨两种保留子宫圆韧带法在腹腔镜经腹腹膜前腹股沟疝修补术（TAPP）中的临床疗效。方法 回顾性分析2013 年7 月至2019 年9 月桐乡市第一人民医院32 例行腹腔镜下经腹腹膜前腹股沟疝修补术并保留子宫圆韧带女性患者的临床资料。对照组14 例患者采用内环口整型法（Keyhole 法）保留子宫圆韧带，观察组18 例患者采用T 型腹膜切开法（T-Dissection 法）保留子宫圆韧带。对两组患者的手术时间、术后住院时间、术后感染、术后血清肿、术后尿潴留及术后复发情况进行比较分析。结果 32 例患者均顺利完成腹腔镜下经腹腹膜前疝修补术。两组平均手术时间、平均住院时间比较，差异无统计学意义（P>0.05）；术后观察组出现1 例血清肿，两组血清肿发生率比较，差异无统计学意义（P>0.05）。两组术后均无感染、尿潴留及复发等并发症。结论 在TAPP 术中两种保留子宫圆韧带法均保留了子宫圆韧带的功能，且安全有效，但T-Dissection 法保留了补片的完整性，避免了手术医生剪开补片及缝合时的不确定性，更值得临床推广。 |
| 英文摘要: |
| Objective To investigate the clinical effects of two methods of preserving uterine round ligaments in laparoscopic transabdominal preperitoneal (TAPP) inguinal herniorrhaphy.Methods Retrospective analysis was performed on the clinical data of 32 women who underwent laparoscopic TAPP inguinal herniorrhaphy and retained uterine round ligaments in our hospital from July 2013 to September 2019.The uterine round ligaments were preserved in 14 patients in the control group by Keyhole method and in 18 patients in the observation group by T-Dissection method.The operative time，postoperative hospital stay，postoperative infection，postoperative seroma，postoperative urinary retention and postoperative recurrence of the two groups were compared and analyzed.Results All the 32 patients successfully completed laparoscopic TAPP inguinal herniorrhaphy.There were no statistically significant difference of average operative time and the average postoperative hospital stay between the observation group and the control group(P>0.05).There was 1 case of seroma in the postoperative observation group，and the difference of seroma rate between the two groups was not statistically significant(P>0.05).There were no complications such as postoperative infection，postoperative urinary retention and postoperative recurrence between the two groups.Conclusion During laparoscopic TAPP inguinal herniorrhaphy，both methods preserve the function of uterine round ligaments and are safe and effective.However，T-Dissection method preserves the integrity of the patch and avoids the uncertainty during the incision and suture of surgeons，making it more worthy of clinical promotion. |
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