双边 inguinal Hernia 修复: 腹腔镜 完全 额外腹膜 对照 开放的 Lichtenstein
Mykhaylo O Yosypenko1, Oleg V Shulyarenko2, Hryhorii O Havrylov3
1Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine.
Acta medica Lituanica
|February 9, 2026
概括
双边 inguinal hernias 的 laparoscopic 全额外皮 (TEP) 修复导致较快的恢复和较少的疼痛,与开放的李克斯坦斯坦技术相比. 接受TEP修复的患者恢复正常活动的时间更快,手术后不适感减少.
科学领域:
- 外科手术 医疗外科手术
- 最少侵入性手术的方法
- Hernia 修复 椎间板裂的修复
背景情况:
- 双边 inguinal 需要有效的手术治疗.
- 将腹腔镜全额外皮膜 (TEP) 修复与开放式利支敦士登技术进行比较对于优化患者的治疗结果至关重要.
研究的目的:
- 为了比较腹腔镜完全外皮膜 (TEP) 修复与初级双侧 inguinal 的开放式 Lichtenstein 技术的结果.
主要方法:
- 一项随机研究涉及93名患者,分为TEP修复 (n=45) 和列支敦士登修复 (n=48) 组.
- 收集的数据包括操作时间,6小时和24小时的术后疼痛得分,恢复正常活动的时间和并发症率.
- 进行了24个月的随访,以评估复发和晚期并发症.
主要成果:
- 与利希坦斯坦修复相比,TEP修复在手术后6小时和24小时显示出明显较低的疼痛评分.
- 治疗TEP组的患者恢复正常活动的速度是列支敦士登组患者的1.5倍.
- 在24个月内,两组之间在操作时间,早期并发症或复发率方面没有发现显著差异.
结论:
- 腹腔镜TEP修复在减少手术后疼痛和更快地恢复正常活动方面提供了显著的优势.
- TEP修复是一种有利的替代品,可以改善患者的康复和生活质量.
关键词:
列支敦士登的方法inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia inguinal hernia腹腔镜完全外皮外修复网格 网格 网格 网格 网格 网格相关概念视频
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