腹腔镜经腹膜前疝修补术与开放无张力疝修补术治疗腹股沟疝的临床效果

目的评价腹股沟疝患者腹腔镜经腹膜前疝修补术(TAPP)和开放无张力疝修补术(Lichtenstein术)的临床疗效。方法回顾性分析70例行TAPP术患者(TAPP组)及同期70例行Lichtenstein术患者(Lichtenstein组)的临床资料,对比分析2组患者的手术时间、术中出血量、术后进食时间、术后下床活动时间、术后住院时间、住院费用及术后并发症的发生情况。结果与Lichtenstein组比较,TAPP组患者手术时间长,术后进食时间和术后下床时间早,住院时间短,住院费用高,差异均有统计学意义(P<0.05);但2组患者术中出血量比较差异无统计学意义(P>0.05)。TAPP组患者切口感染和局部疼痛不适感的发生率低于Lichtenstein组,差异有统计学意义(P<0.05)。结论TAPP具有创伤小、恢复快、并发症少的优点,是一种比较理想的腹股沟疝修补术式。

Clinical effect of transabdominal preperitoneal prosthetic and open tension-free herniorrhaphy in treating patients with inguinal hernia

Objective To evaluate the clinical effect of transabdominal preperitoneal prosthetic（TAPP）and open tensionfree herniorrhaphy in treating patients with inguinal hernia. Methods The clincial data of patients with inguinal hernia who were given TAPP（70 cases,TAPP group） and open tension-free herniorrhaphy（70 cases,Lichtenstein group） were analyzed retrospectively. The operation time,intraoperative hemorrhage volume,eating time and out-of-bed activity after operation,length of stay,cost of hospitalization and the incidence of postoperative complications between the two groups were compared. Results Compared with Lichtenstein group,the operation time was longer,the eating time and out-of-bed activity after operation was earlier,length of stay was shotter,but the cost of hospitalization was higher in TAPP group（P〈0. 05）,while there was no significant difference in intraoperative hemorrhage volume between the two group（P〉0. 05）. The incidence rate of postoperative infection and local pain in TAPP group was lower than that in Lichtenstein group（P〈0. 05）. Conclusion TAPP has the advantage of smaller trauma,recovery more quickly and lower incidence of complication. It is an ideal herniorrhaphy to treat inguinal hernia.