三种腹腔镜腹股沟疝修补术的临床对照研究

Clinical controlled study of three kinds of laparoscopic inguinal hernia repair

目的比较经腹腔腹膜前法、完全经腹膜外法、腹腔内置网技术三种方法在腹腔镜腹股沟疝修补术中的临床效价。方法 2006年1月至2010年6月共收治腹股沟疝患者60例,随机分为腹膜前组、腹膜外组、置网组,分别应用经腹腔腹膜前法、完全经腹膜外法、腹腔内置网技术行腹腔镜腹股沟疝修补术,进行前瞻性对比研究。结果 3组在手术时间、住院天数、术后并发症、术后不适感、复发率等方面差异无统计学意义,在手术费用方面腹膜外组则明显少于另外两组。结论 3种方法治疗腹股沟疝均安全有效,完全经腹膜外法相对其他两种手术方法手术费用更低,临床推广更具优势。

Objective To compare the clinical efficiency of intraperitoneal onlay mesh technique （IPOM）,transahdominal preperitoneal approach （ TAPP ） and totally extraperitoneal approach （ TEP ）. Methods From January 2006 to June 2010,60 patients with inguinal hernia were randomly divided into IPOM group,TAPP group and TEP group,abdominal preperitoneal were applied by transabdominal preperitoneal approach, totally extraperitoneal approach, intraperitoneal onlay mesh technique for laparoscopic abdominal inguinal hernia repair,for prospective and comparative reseach. Results There methods were no statistical significant on such as operative time,hospital stay,postoperative complications, postoperative discomfort or recurrence rate, and relatively TEP had an advantage of lower cost. Conclusions Three methods are safe and effective treatment of inguinal hernia,TEP relative to the other two has lower cost of surgery and clinical advantages.