TEP与无张力修补腹股沟斜疝的比较

Comparison of TEP and tension-free repair indirect inguinal hernia

目的比较TEP和无张力修补腹股沟斜疝方法的手术疗效。方法将78例患者按住院手术治疗的先后顺序随机分为TEP组33例,无张力修补组45例。比较两组患者手术时间、治疗费用、住院天数以及术后并发症等指标,以评价TEP和无张力修补腹股沟斜疝的疗效。结果 TEP组随访时间平均(16±1.5)个月,无张力修补组(24±1.8)个月,完成随访率为97.43%。无张力修补组2例1年半后复发(4.44%),TEP组至今复发1例(3.03%),手术时间、平均住院天数、治疗费用、疝复发率、术后发热和尿潴留发生率等均无明显差异(P>0.05);术后疼痛、阴囊水肿、切口感染和缺血性睾丸炎等近、远期并发症TEP组明显少于无张力修补组,两组间差异有显著意义(P<0.05)。结论 TEP修补腹股沟疝可明显减少各种并发症和术后不适的发生率,疗效肯定,值得临床推广应用。

Objective To compare the surgical efficacy between TEP and tension-free repair of inguinal hernia.Methods 78 patients were randomly assigned into TEP group of 33 patients,and tension-free repair group of 45 patients.The two groups were compared in operative time,cost of treatment,length of hospital stay,and postoperative complications to evaluate the efficacy.Results The average follow-up time of the TEP group was（16 ± 1.5） months,tension-free repair group（24 ± 1.8） months.The follow-up completion rate was 97.43%.As for tension-free repair group two cases recurred a year and a half later（4.44%）,which TEP group had relapsed patient（3.03%）.There were no significant differences in operation time,average length of stay,the cost of treatment,hernia recurrence rate,postoperative fever and urinary retention incidence（P 0.05）;postoperative pain,scrotal edema,wound infection and ischemic orchitis recent long-term complications in TEP group were significantly less than those in the tension-free repair group.The difference between the two groups was significantly significant（P 0.05）.Conclusion TEP repair of inguinal hernia can significantly reduce the incidence of various complications and postoperative discomfort,which is effective and worthy of clinical application.