老年腹股沟疝腹腔镜下全膜外补片植入术应用疗效比较

Total extraperitoneal prosthesic operation under laparoscope in the treatment of inguinal hernia of old people: A comparative study

目的比较腹腔镜下全膜外补片植入术(TEP)与传统Bassini术治疗老年腹股沟疝的疗效。方法选择经过确诊且符合手术条件的164例病例,通过随机数字表法随机分为TEP组(A组)84例和Bassini组(B组)80例;比较2组各临床指标、术后并发症发生率及复发率等。结果与B组相比,A组生活自理时间短(P<0.05)、术后住院时间短(P<0.05)、疼痛分级轻(P<0.05)、止痛药使用比例低(P<0.05)、术后并发症发生率和复发率均较低(P<0.05);但A组的住院费用明显高于对照组(P<0.05)。结论 TEP术具有创伤性小、安全、术后住院时间短、术后并发症少、恢复快、复发率低等诸多优点,值得临床推广。

Objective To compare the therapeutic effect between total extraperitoneal prosthesic operation（TEP） under laparoscope and traditional Bassini operation.Methods 164 cases diagnosed and fit for the operation were chosen and randomly divided into TEP group（84 cases） and Bassini control group（80 cases）.Different clinical indexes,postoperative complications and recurrence rates of the two groups were compared.Results Compared with the control group,the TEP group indicated shorter time to return to normal self-care（P0.05）,less hospitalization after operation（P0.05）,lighter ache grades（P0.05）,lower ratio of using analgesics（P0.05）,and lower rates of postoperative complications and relapse（P0.05）.But the expense of the TEP group was much higher than the control group（P0.05）.Conclusion TEP operation is better than the traditional operation with such advantages as less traumatic occlusion,much safety,shorter hospitalization after operation,fewer postoperative complications,faster recovery and lower recurrence rate.So this operation deserves to be promoted in clinical practice.