腹腔镜经腹腹膜前疝修补术与Lichtenstein术在成人腹股沟嵌顿疝的疗效

目的探讨腹腔镜经腹腹膜前疝修补术（TAPP）与Lichtenstein术在成人腹股沟嵌顿疝治疗中的临床应用比较。 方法回顾分析2014年1月至2019年1月，上海中医药大学附属普陀医院急诊收治并完成无张力疝修补手术病例共82例成人腹股沟嵌顿疝患者临床资料，根据手术方式不同分为2组。观察组38例，行TAPP术；对照组44例，行Lichtenstein术。将2组手术时间，术后住院时间，术后疼痛评分，术后血清肿，术后其他并发症（复发、术后感染、术后肠坏死、出血），术后总费用等进行统计学分析。 结果2组在术后血清肿及其他并发症上比较，差异无统计学意义（P>0.05）；研究组手术时间及住院费用明显高于对照组，差异有统计学意义（P<0.05）；研究组术后住院时间及术后疼痛评分低于对照组，差异有统计学意义（P<0.05）。 结论TAPP术较Lichtenstein术手术时间长，术后总费用相对高，但其具有创伤小、疼痛轻、恢复快、复发率低等特点。

Laparoscopic transabdominal preperitoneal prosthetic repair and Lichtenstein repair in the treatment of adult incarcerated inguinal hernia

ObjectiveTo compare the clinical application of laparoscopic transabdominal preperitoneal prosthetic (TAPP) repair and Lichtenstein repair in the treatment of adult incarcerated inguinal hernia. MethodsA retrospective analysis of the clinical data of 82 patients with incarcerated inguinal hernia in Putuo Hospital from January 2014 to January 2019, according to different surgical methods at that time. 38 patients in the observation group were treated with TAPP, and 44 patients in the control group underwent Lichtenstein hernia repair. Statistical analysis was performed on the operation time, postoperative hospital stay, postoperative pain score, postoperative seroma, postoperative other complications (recurrence, postoperative infection, postoperative intestinal necrosis, hemorrhage) and total postoperative costs. ResultsThere was no significant difference in postoperative seroma and other complications between the two groups (P>0.05). The operation time and hospitalization cost of the study group were significantly higher than those of the control group (P<0.05). The postoperative hospital stay and postoperative pain scores were lower than the control group, which was statistically significant (P<0.05). ConclusionTAPP has a longer operation a relatively high total postoperative cost than Lichtenstein repair. However, it has the characteristics of small trauma, light pain, rapid recovery and low recurrence rate.