腹腔镜下两种腹股沟疝修补术治疗腹股沟疝临床疗效分析

Clinical curative effect analysis of Two laparoscopic inguinal hernia repair treatment of inguinal hernia

目的探讨腹腔镜下两种腹股沟疝修补术治疗腹股沟疝的有效性及安全性。方法回顾性分析2010年3月至2012年8月施行腹腔镜下完全腹膜外腹股沟疝修补术(TEP)的38例成人腹股沟疝患者的临床资料,并与同期施行经腹腔镜腹膜前修补术(TAPP)进行比较分析。结果两组患者住院时间、住院费用、术后下床时间及并发症的发病率均无显著差异(P>0.05);但是手术时间TAPP组长于TEP组,两组比较差异具有统计学意义(P<0.05);TAPP组术后复发2例,TEP组无复发。结论 TAPP和TEP均是治疗成人腹股沟疝的有效方法,但TEP手术时间短,安全性更高,值得临床推广应用。

Objective To investigate the efficacy and safety of Two laparoscopic inguinal hernia repair treatment of inguinal hernia. Methods 38 patients treated in our hospital from March 2010 to August 2012 were analysed retrospectively, and with the same period by ]aparoscopie peritoneal and former suture （TAPP） comparative analysis. Results Two groups of patients in hospital costs, length of hospital stay, postoperative of bed time and the incidence of complications were no significant differences between the two groups was statistically significant （ P 〉 0.05 ） ; But the operation time TAPP group is greater than the TEP group, two groups of comparisons difference has statistical significance （ P 〈 0.05 ） ; TAPP group of postoperative recurrence in 2 cases, no recurrence TEP group. Conclusion TAPP and TEP are adult inguinal hernia treatment ef- fective method, but TEP short operative time, higher safety, it is worth clinical application.