TAPP与Lichtenstein无张力疝修补术治疗青年腹股沟疝的短期效果比较

Comparison of Short-term Outcomes between TAPP and Lichtenstein Tension-free Hernia Repair for Inguinal Hernia in Young Adults

目的比较青年腹股沟疝患者应用腹腔镜经腹腹膜前疝修补术(Transabdominal Preperitoneal Prosthesis,TAPP)以及李金斯坦(Lichtenstein)无张力疝修补术后的短期效果。方法选取南京市高淳人民医院于2019年12月—2022年12月收治的78例青年腹股沟疝患者作为研究对象,采用随机数表法分成两组,即对照组(39例)、观察组(39例)。对照组采取Lichtenstein术,观察组采取TAPP。对比两组临床各项指标、炎性因子水平、疼痛状态、总有效率、短期效果。结果观察组的术中出血量较少,肛门排气时间、下床活动时间和住院时间较短,肿瘤坏死因子、白介素-6、C反应蛋白水平更低,视觉模拟疼痛评分更低,差异有统计学意义(P均<0.05)。观察组治疗总有效率较高,差异有统计学意义(P<0.05)。对照组并发症发生率、复发率为17.95%、11.76%,与观察组(7.69%、4.76%)比较,差异无统计学意义(χ^(2)=1.835、0.634,P均>0.05)。结论针对青年腹股沟疝患者采取TAPP与Lichtenstein术的短期疗效相当,但TAPP能够有效缓解炎症,疼痛感低,更有利于患者恢复。

Objective To compare the short-term outcomes of young patients with inguinal hernia after application of laparoscopic transabdominal preperitoneal prosthesis(TAPP)and Lichtenstein's tension-free hernia repair.Methods A total of 78 young patients with inguinal hernia admitted to Gaochun People's Hospital from December 2019 to December 2022 were selected and divided into two groups by random table method,control Group(39 cases),Observa⁃tion Group(39 cases).Lichtenstein operation was adopted in the control group,and TAPP was adopted in the observation group.Comparison of clinical indicators,inflammatory factor levels,pain status,total effective rate,short-term re⁃sults.Results The observation group had less intraoperative bleeding,shorter time to anal evacuation,time to get out of bed and hospital stay,and lower tumor necrosis factor-α,interleukin-6,and C-reactive protein,Visual Analogue Scale of pain was lower,and the differences were statistically significant(all P<0.05).The total effective rate of treat⁃ment was higher in the observation group,the difference was statistically significant(P<0.05).The rate of complication and recurrence in the control group was 17.95%and 11.76%,and there was no significant difference between the two groups(7.69%and 4.76%)(χ^(2)=1.835,0.634,both P>0.05).Conclusion The short-term efficacy of TAPP and Lichten⁃stein's operation for young patients with inguinal hernia is comparable,but TAPP can effectively relieve inflammation and low pain, which is more conducive to the recovery of patients.