两种腹股沟疝无张力修补术的对比:TEP与PHS修补术

Comparison Between Two Kinds of Tension-Free Inguinal Hernia Repair: TEP Versus PHS

目的探讨腹腔镜全腹膜外腹股沟疝修补术(TEP)的临床疗效及应用价值。方法将我院同期同组内施行的成人腹股沟无张力修补术患者116例分为两组:TEP组76例、PHS修补术组40例。术后全部随访6～12个月。观察指标包括:手术时间、住院时间、住院费用、术后疼痛、主观舒适度、术后并发症等。两组数据进行统计学处理。结果手术时间、住院时间、住院费用两组间无差异(P>0.05)。术后疼痛、主观舒适度TEP组优于PHS组(P<0.05),随访期间并发症两组无差异(P>0.05)。结论 TEP临床疗效不劣于开放式无张力修补术,甚至在术后疼痛、主观舒适度方面有一定优势,值得临床应用开展。

Objective To investigate the clinical effect and practical value of totally extraperitoneal hemia repair. Methods 116 cases with adult inguinal hernia at the same period and same group ,which was divided into two groups： The TEP group 76 cases and The PHS group 40 cases .All cases were followed-up 6-12 months after operation, observation indexes：operation time, hospital stay, hospital charges, postoperative pain, subjective comfortable degree, postoperative complications, The two sets of data were processed and analyzed statistically. Result There was no difference in two group in operation time, hospital stay, hospital charges（P〉0.05）, postoperative pain and subjective comfortable degree was better in the TEP group then those in the PHS group（P〈0.05）.And there was no difference in postoperative complications between two groups（P〉0.05） during follow-up. Conclusion The clinical effect of TEP was not inferior to open Tension-Free Inguinal Hernia Repair, even better in postoperative pain and subjective comfortable degree, and worth in clinical application.