两种疝修补术治疗复发性腹股沟疝的对比研究

目的对比腹腔镜完全腹膜外疝修补术（totally extraperitoneal laparoscopic hemioplasty，TEP）与Lichtenstein疝修补术治疗复发性腹股沟疝的临床疗效。方法选择2008年2月至2011年2月20例复发性腹股沟疝患者，随机分为两组，观察组行腹腔镜完全腹膜外疝修补术，对照组行Lichtenstein疝修补术。比较两组患者手术时间，下床时间，住院时间，术后疼痛麻木持续时间，术后并发症，手术费用，术后复发率。随访时间6—24个月。结果与Lichtenstein组相比，TEP组手术费用高，但术后开始活动早，住院时间短，术后疼痛麻木持续时间短（P〈0．05）；但两组手术时间、术后并发症、术后复发率差异无统计学意义（P〉0．05）。结论腹腔镜完全腹膜外疝修补术治疗复发性腹股沟疝比Lichtenstein疝修补术更具有优势，值得推广。

Comparative Study between Totally Extraperitoneal Laparoscopic Hernioplasty and Lichtenstein Herniorrhaphy for Recurrent Inguinal Hernia

Objective To compare the clinical efficacy of totally extraperitoneal laparoscopic hernioplasty（TEP） with Lichtenstein herniorrhaphy in recurrent inguinal hernia. Methods 20 patients with recurrent inguinal hernia admitted from Feb. 2008 to Feb. 2011 were randomly divided into two groups：TEP group and Lichtenstein herniorrhaphy group. Operation time, getting out - of - bed time, hospitalization time, duration of postoperative pain and numbness, postoperative complications,surgical cost and recurrence rate were compared between these two groups after 6 - 24 months＇follow up. Results Surgical cost in TEP group was significantly higher than that in Lichtenstein group. However, postoperative movement start time, hospitalization time and duration of postoperative pain and numbness were shorter in TEP group than those in Lichtenstein group（P 〈 0.05）. There were no significant differences between operation time, postoperative complications and recurrence rate between these two groups （P 〉 0.05 ）. Conclusion TEP is better than Lichtenstein herniorrhaphy in recurrent inguinal hernia, and is worthy to be popularized.