腹腔镜疝修补术与Lichtenstein无张力疝修补术临床疗效比较

Comparison between laparoscopic inguinal hernia repair and Lichtenstein tension-free hernia repair for inguinal hernia

目的对腹腔镜疝修补术(transabdominal preperitoneal,TAPP、totally extraperitoneal,TEP)与Lichtenstein无张力疝修补术治疗腹股沟疝临床疗效进行比较分析。方法对我院2008年7月至2013年8月实施的腹腔镜疝修补术112例与Lichtenstein无张力疝修补术112例进行分析,对比两组患者手术时间、术中出血量、术后下床活动时间、术后住院时间、并发症发生率、复发率及住院费用等数据。结果两种手术均有较好疗效,其中腹腔镜疝修补术住院费用高于无张力疝修补术(P<0.05),两组手术时间无显著性差异(P>0.05),前者在术中出血量、术后下床活动时间、术后住院时间、并发症发生率、复发率均要明显少于后者(P<0.05)。结论腹腔镜疝修补术治疗腹股沟疝疗效肯定,具有创伤小、并发症少、术后痛苦小、恢复快等优点,但费用较高,临床上可逐步推广。

Objective To compare the effect of laparoscopic inguinal hernia repair with Lichtenstein tension-free hernia repair for inguinal hernia. Methods Patients were involved in this study from July 2008 to August 2013,with 112 patiens in laparoscopic group and 112 patients in Lichtenstein group. The operative time,intraoperative blood loss,postoperative bed activity time,postoperative hospital stay,complications,recurrence rate and hospital cost were compared between the two groups. Results Two kinds of operation had good curative effect. Hospital cost in laparoscopic group was higher than that of the Lichtenstein group（ P〈 0. 05）,and no significant difference was found between two groups of operation time（ P〉 0. 05）,but the former had less blood loss,earlier bed activity time,shorter postoperative hospital stay,lower incidence of complications and recurrence rate than those of the latter（ P〈 0. 05）. Conclusions Laparoscopic hernia repair had curative effect on treatment of inguinal hernia,and had the advantages of small trauma,fewer complications,less pain,rapid recovery,etc,but had higher cost than Lichtenstein tension-free hernia repair,so it could be phased in clinic.