TEP和TAPP治疗成年男性腹股沟疝的临床效果及其对患者预后的影响

目的探讨TEP和TAPP治疗成年男性腹股沟疝的临床效果及其对预后的影响,为临床合理选择术式提供借鉴。方法选择在我院住院接受手术治疗的137例成年男性腹股沟疝患者为研究对象,按照手术方式的不同将其分为TEP组(64例)和TAPP组(73例)。比较两组患者的手术指标、GAS、MTL水平、术后并发症发生情况及痛疼情况。结果两组患者的手术时间、术中出血量、术后排气时间、住院时间、术后下床活动时间无显著差异(P>0.05)。术后第1天,两组的GAS、MTL水平均低于术前(P<0.05),但组间无显著差异(P>0.05)。两组术后的并发症总发生率无显著差异(P>0.05)。术后第3天,两组的VAS评分显著低于术后第1天(P<0.05),但组间无显著差异(P>0.05)。术后1年,两组均未复发,治愈率均为100.00%。结论 TEP和TAPP在成年男性腹股沟疝的治疗中均效果显著,安全可靠,在临床应用中,可根据患者实际病情和医生对不同术式的熟练掌握程度进行合理选择。

Clinical effect of TEP and TAPP in the treatment of adult male inguinal hernia and the influence on prognosis of patients

Objective To explore the clinical effect of TEP and TAPP in the treatment of adult male inguinal hernia and the influence on prognosis, so as to provide a reference for rational selection of surgical methods in clinic. Methods A total of 137 adult male patients with inguinal hernia undergoing surgical treatment in our hospital were selected as the study objects,and the patients were divided into TEP group(64 cases) and TAPP group(73 cases) according to different surgical methods.The operation indexes, GAS and MTL levels, postoperation complications and pain were compared between the two groups.Results There were no significant differences in operation time, intraoperative bleeding volume, postoperative exhaust time,hospital stay and time of getting out of bed between the two groups(P>0.05). At lst day after operation, GAS and MTL levels in both groups were lower than those before operation(P<0.05), but there were no significant differences between the two groups(P>0.05). There was no significant difference in the total incidence of postoperative complications between the two groups(P>0.05). At the 3rd day after operation, the VAS scores of the two groups were significantly lower than those at the 1st day after operation(P<0.05), but there was no significant difference between the two groups(P>0.05). At one year after operation, no postoperative recurrence in both groups, and the cure rates were 100.00%. Conclusion TEP and TAPP are effective, safe and reliable in the treatment of adult male inguinal hernia. In the clinical application, it can make a reasonable choice according to the actual condition of patients and the proficiency of doctors to the different surgery methods.