腹腔镜全腹膜外腹股沟疝修补术与巨大补片加强内脏囊术的随机对照研究

Laparoscopic extraperitoneal inguinal hernia repair with giant prosthetic reinforce of the visceral sac:A randomized controlled study

目的比较腹腔镜全腹膜外腹股沟疝修补术(TEP)与巨大补片加强内脏囊术(GPRVS)两种方法在腹股沟疝治疗中的优缺点,以指导临床应用。方法 68例腹股沟疝患者随机分两组,一组行TEP,另一组行GPRVS,比较两组手术时间、使用镇痛的频率、下床活动时间、住院天数、正常活动时间、腹股沟疼痛持续时间、疝复发率、住院费用等参数,将两组数据进行统计学处理和分析。结果两组患者的手术时间、使用镇痛的频率、下床活动时间、住院天数、正常活动时间、腹股沟疼痛持续时间、住院费用等比较,差异均有统计学意义(P<0.05)。结论 TEP在使用镇痛的频率、下床活动时间、住院天数、正常活动时间等方面具有优势,GPRVS在手术时间、腹股沟疼痛持续时间、住院费用方面有优势,两者疝复发率方面比较无区别。

Objective To compare the laparoscopic extraperitoneal inguinal hernia repair（TEP） and giant prosthetic reinforce of the visceral sac（GPRVS） two methods in the treatment of inguinal hernia strengths and weaknesses,to guide the clinical application.Methods All of 68 patients with inguinal hernia were randomly divided into two groups,a group of lines TEP,another set of lines GPRVS.Operative time the frequency of analgesic use,ambulation time,hospital stay,time to normal activity,the duration of groin pain,hernia recurrence rate,hospitalization costs and other parameters were compared.The two sets of data were statistical processed and analyzed.Results The operation time,the frequency of analgesic use,ambulation time,hospital stay,time to normal activity,groin pain,duration of hospitalization costs in two groups had significantly difference（P〈0.05）.Conclusion TEP in the frequency of analgesic use,ambulation time,hospital stay,time to normal activities has advantages.GPRVS the operative time,duration of groin pain,hospitalization cost advantage.No difference between the rate of hernia recurrence.