腹腔镜完全腹膜外疝修补对中青年男性腹股沟疝疗效的影响

目的探讨腹腔镜完全腹膜外疝修补术(TEP)对中青年男性腹股沟疝患者性功能的影响。方法纳入于2014年1月-2016年2月接受TEP的腹股沟疝患者147例为观察组,纳入同期接受腹腔镜经腹腹膜前疝修补术(TAPP)的腹股沟疝患者133例为对照组,开展回顾性分析。对比两组手术效果、性功能的变化。结果观察组手术时间、住院时间、术后疼痛时间明显短于对照组,住院费用少于对照组,差异有统计学意义(P0.05);观察组术后精液α-葡萄糖苷酶(α-Glu)、果糖(Fru)和酸性磷酸酶(ACP)水平均明显高于对照组,差异有统计学意义(P0.05)。两组术后均出现少量并发症,经对症处理后均痊愈,两组并发症发生率及复发率对比,差异无统计学意义(P0.05)。结论相较于腹腔镜TAPP,对腹股沟疝患者采用腹腔镜TEP术式可以进一步缩短手术时间及术后恢复时间,且不增加并发症及复发率,同时还有助于促进患者精液质量的恢复,值得关注。

Totally extraperitoneal vs. transabdominal preperitoneal foringuinal hernia

Objective To investigate the effect of laparoscopic totally extraperitoneal (TEP) on sexual functionin young and middle-aged patients with inguinal hernia. Methods 147 male with inguinal hernia treated by TEPfrom January 2014 to Feberary 2016 were included in the observation group, while 133 male with inguinal herniatreated by laparoscopic transabdominal preperitoneal (TAPP) during the same time were included in the controlgroup. The effect of surgery and changes on sexual function between the two groups were retrospective analyzed andcompared. Results The operative time, length of hospital stay, time of postoperative pain and in the observationgroup shorter than in the control group. The differences between the two groups were statistically significant(P < 0.05). The level of seminal alpha glucosidase, fructose contents and acid phosphatase in the observation groupwere higher than in the control group at 12 months after surgery. The differences between the two groups werestatistically significant (P < 0.05). There were a small number of complications in both groups. After symptomatictreatment, all complications were cured. The ratio of complications and recurrences of the two groups have nosignificantly differences (P > 0.05). Conclusion Compared with laparoscopic TAPP, laparoscopic TEP can shortenthe time of postoperative recovery, and will not increase the complications and recurrences. It is good for recovery ofsemen quality. It is worthy of attention.