临床外科杂志 ›› 2022, Vol. 30 ›› Issue (11): 1068-1071.doi: 10.3969/j.issn.1005-6483.2022.11.020

• 论著 • 上一篇    下一篇

轻量立体3D补片对腹腔镜下经腹腹膜前腹股沟疝修补术治疗老年腹股沟疝病人并发症、疼痛及生活质量的影响

  

  1. 200436 上海交通大学附属仁济医院宝山分院普外科 
  • 收稿日期:2022-02-16 接受日期:2022-02-16 出版日期:2022-11-20 发布日期:2022-11-20
  • 通讯作者: 通信作者：崔喆，Email：drcui1568@163.com

Effect of Lightweight Stereoscopic 3D Patch on complications,pain and quality of life followed up for one year in elderly patients with inguinal hernia treated with laparoscopic TAPP

  1. Department of General Surgery，Baoshan Branch of Renji Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 200436, China
  • Received:2022-02-16 Accepted:2022-02-16 Online:2022-11-20 Published:2022-11-20

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摘要： 目的 探讨轻量立体3D补片对腹腔镜下经腹腹膜前腹股沟疝修补术(TAPP)治疗老年腹股沟疝病人并发症、疼痛及生活质量的影响。 方法 2018年9月～2020年8月我院收治的老年腹股沟疝病人203例，均进行腹腔镜下TAPP术治疗，根据资料中疝补片的不同分为对照组(105例)和治疗组(98例)。对照组采用普通补片，治疗组采用轻量立体3D补片。采用视觉模拟评分法(VAS)评估病人术后疼痛情况，生活质量综合评定问卷-74(GQOLI-74)评估病人手术前后生活质量。比较两组病人手术相关指标、并发症、术后疼痛以及手术前后生活质量。 结果 对照组的手术时间为(57.34±4.69)分钟、术后下床活动时间为(27.53±5.46)小时、住院时间为(7.85±1.12)天，治疗组分别为(50.65±4.31)分钟、(20.39±5.26)小时和(5.76±0.73)天，两组比较差异有统计学意义(P<0.05)。治疗组术后并发症发生率为3.06%，低于对照组的11.43%，差异有统计学意义(P<0.05)。对照组病人术后1天、4天、7天和术后1个月VAS评分分别为(3.89±0.84)、(3.47±0.74)、(2.82±0.64)和(1.74±0.46)，治疗组分别为(3.01±0.57)、(2.63±0.55)、(2.09±0.52)和(1.12±0.41)，两组比较差异有统计学意义(P<0.05)。术后1年，治疗组的心理健康评分为(74.13±5.67)，物质生活状态评分为(70.49±6.44)，躯体健康评分为(71.56±6.43)，社会功能评分为(75.86±4.21)，对照组分别为(62.39±4.39)、(61.53±4.35)、(60.93±5.76)和(62.82±3.24)，两组比较差异有统计学意义(P<0.05)。结论 轻量立体3D补片联合腹腔镜下TAPP术治疗老年腹股沟疝术后并发症少，可有效缓解病人术后疼痛，改善生活质量。

关键词: 轻量立体3D补片, 腹股沟疝, 经腹腹膜前腹股沟疝修补术, 疼痛, 生活质量

Abstract: Objective To investigate the effect of Lightweight Stereoscopic 3D Patch on complications,pain and quality of life followed up for one year in elderly patients with inguinal hernia treated with laparoscopic TAPP. Methods The clinical data of 203 elderly patients with inguinal hernia admitted and diagnosed in our hospital from September 2018 to August 2020 were retrospectively analyzed.All patients were treated with laparoscopic TAPP,and were included in the control group(105 cases) and the treatment group(98 cases) according to the different hernia patches in the data.The control group was given ordinary patch,and the treatment group was given Lightweight Stereoscopic 3D Patch.Postoperative pain was assessed by visual analogue scale(VAS),and quality of life before and after surgery was assessed by the Comprehensive Quality of Life Questionnaire-74(GQOLI-74).The surgery-related conditions,complications,postoperative pain,and quality of life before and after surgery were compared in two groups. Results The operation time[(57.34±4.69)min],postoperative ambulation time[(27.53±5.46)h] and hospital stay[(7.85±1.12)d] in the control group were longer than those in the treatment group[(50.65±4.31)min、(20.39±5.26)h、(5.76±0.73)d](P<0.05).The incidence of postoperative complications in the treatment group(3.06%) was significantly lower than that in the control group(11.43%)(P<0.05).The VAS scores of the control group at 1 day(3.89±0.84),4 days(3.47±0.74),7 days(2.82±0.64) ，1 month(1.74±0.46)after operation were higher than those in the treatment group[(3.01±0.57),(2.63±0.55),(2.09±0.52),(1.12±0.41)](P<0.05).One year after the operation,the scores of mental health(74.13±5.67),material life status(70.49±6.44),physical health(71.56±6.43) and social function(75.86±4.21) in the treatment group were significantly higher than those in the control group [(62.39±4.39),(61.53±4.35),(60.93±5.76),(62.82±3.24)](P<0.05). Conclusion Lightweight Stereoscopic 3D Patch combined with laparoscopic TAPP in the treatment of elderly patients with inguinal hernia has fewer postoperative complications,and at the same time can effectively relieve postoperative pain and improve the quality of life.

Key words: lightweight stereoscopic 3D patch, inguinal hernia, preperitoneal inguinal hernia repair, pain, quality of life

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