腹腔镜与开放式无张力疝修补术的比较

Comparison study of totally extraperitoneal technique in laparoscopic hernioplasty and Lichtenstein herniorrhaphy for adult inguinal hernia

目的评价不同无张力疝修补术的治疗效果。方法回顾性分析行Lichtenstein无张力疝修补术和腹腔镜完全腹膜外疝修补术(TEP)210例的临床资料,对比两组手术时间、住院时间和短期内复发的情况。结果与Lichtenstein组相比,TEP组手术时间长(P<0.05),手术费用高(P<0.05);但术后开始活动早(P<0.05),住院时间短(P<0.05),术后不适感持续时间短(P<0.05)。两组术后疼痛分数、并发症、复发率、2周内恢复非限制性活动比较,差异无统计学意义(P>0.05)。结论TEP术与Lichtenstein无张力疝修补术两种术式均值得临床推广。

Objective To evaluate the effects of different tension-free repair operations in hernia repair. Methods 210 cases received Lichtenstein tension-free hernia repair and totally extraperito- neal technique（TEP） in laparoscopic hernia repair were compared on the operation time, hospital stay and short-term recurrence. Results The mean operation time in TEP group was significantly longer than that in Lichtenstein group（P（0. 05）, and the average cost for surgery in TEP group was significant higher than in Lichtenstein group（P〈0. 05）. However, in TEP group the patients returned to activity earlier（P〈0. 05）, hospital stay was shorted（P〈0. 05）, and the duration of postoperative discomfort was shorter（P〈0. 05） than in the Lichtenstein group. No significant difference was detected in visual analogue pain scores, complications, relapse rate and non-restrictive activities recovered in two weeks between the two groups（P〉0. 05）. Conclusion Both TEP and Lichtenstein herniorrhaphy are worth being wildly used.