TEP与Lichtenstein两种术式治疗成人腹股沟疝的临床效果对比研究

Comparative Study of Clinical Effect Between TEP and Lichtenstein for Treatment of Inguinal Hernia in Adults

目的比较TEP与Lichtenstein两种术式治疗成人腹股沟疝的临床效果。方法随机选取2010年6月—2014年6月期间该院收治的100例成年腹股沟疝患者,随机分为TEP组与Lichtenstein组各50例,TEP组采用TEP术式进行手术,Lichtenstein组采用Lichtenstein术式进行手术,比较疗效。结果 TEP组手术时间长于、住院费用高与Lichtenstein组(P<0.01),术中出血量少于、术后下床活动时间与住院时间短于Lichtenstein组(P<0.01);术后8 h、12 h、24 h时疼痛(VAS评分)程度TEP组低于Lichtenstein组(P<0.01);TEP组术后并发症发生率6.00%,Lichtenstein组为0.00%,两组术后半年内均无疝复发,并发症发生及疝复发率比较差异无统计学意义(P>0.05)。结论 TEP与Lichtenstein术后比较有术中出血量少、术后下床活动早及住院时间短、术后疼痛程度轻的优势,但是相对患者经济支出较高。

Objective To compare the clinical effect between TEP and Lichtenstein in treatment of inguinal hernia in adults.Methods 100 adults with inguinal hernia admitted in our hospital during June 2010 and June 2014 were randomly divided into TEP group（n=50） and Lichtenstein group（n=50）. TEP（totally extraperitoneal prosthesis） and Lichtenstein（Lichtenstein tension-free hernioplasty） were performed in the two groups respectively. The treatment effects were compared between the two groups.Results The operation during and hospitalization expenses were more; the intraoperative blood loss, postoperative activity time and hospitalization time less; the VAS score 8h, 12 h, 24 h after operation lower, in the TEP group than in the Lichtenstein group, and all the differences above were statistically significant（P〈0.01）. The complications rates of the two groups were 6.00% and 0.00%,and no hernia relapse was found in both two groups within half year after operation, and there were no statistically significant differences between the two groups（P〉0.05）. Conclusion Compared with Lichtenstein, TEP has advantages of less intraoperative blood loss and postoperative pain, earlier postoperative ambulation, shorter hospitalization time, and disadvantage of higher costs.