腹腔镜经腹腹膜前疝修补术与开腹腹膜前疝修补术治疗腹股沟疝的对比研究

Comparative study of laparoscopic transabdominal preperitoneal hernia repair and open preperitoneal hernia repair for inguinal hernia

目的探讨经腹腹膜前腹腔镜腹股沟疝修补术与开腹腹膜前疝修补术治疗腹股沟疝的优势。方法回顾性分析2012年1月至2013年1月,青岛大学医学院附属烟台毓璜顶医院收治的72例腹股沟疝手术患者的临床资料。其中试验组38例,行腹腔镜腹股沟疝修补术;对照组34例,行开腹腹膜前疝修补术。结果本组手术均顺利完成,二组间术中出血量、术后下床活动时间、术后住院时间差异无统计学意义;手术时间、肛门排气时间差别无统计学意义;二组尿潴留、伤口感染、血肿、血清肿、伤口疼痛、术后复发差别无统计学意义。结论经腹腹膜前腹腔镜腹股沟疝修补术及开腹腹膜前疝修补术都是安全有效的,各有其优点,术者应该根据患者病情合理地选择术式。

Objective To explore the difference between laparoscopic transabdominal preperitoneal hernia repair（ TAPP） and open preperitoneal hernia repair for the treatment of inguinal hernia. Methods A total of 72 cases with inguinal hernia underwent hernia repair in Yantai Yu Huang Ding Hospital affiliated to Qingdao University School of Medicine from January 2012 to January 2013 were retrospectively analyzed.38 cases in test group were applied with TAPP,and 34 cases in control group with open preperitoneal hernia repair. Results All operations were successfully completed. No significant difference was found in blood loss during operation,postoperative activity time,and postoperative hospitalization time. There was no statistically significant difference in operation time and pass flatus time between these two groups. There was no statistically significant difference in urinary retention,wound infection,hematoma,seroma,wound pain and recurrence. Conclusion Both TAPP hernia repair and open preperitoneal hernia repair are safe and effective methods for the treatment of inguinal hernia. Either of way has its advantages,and surgeons should choose the suitable procedure according to patient＇s condition reasonably.