腔镜全腹膜外腹股沟疝修补术与Lichtenstein修补术的临床比较分析

目的：比较腹腔镜全腹膜外腹股沟疝修补术（TEP）与Lichtenstein术式治疗成人腹股沟疝的临床效果。方法选取2013年6月至2014年6月收治的患者，其中符合标准的共65例患者入组，随机分为腹腔镜组32例，开放组33例。比较两组手术时间、术后住院时间、并发症发生率、术后疼痛评分、住院费，并电话随访重返正常工作的时间，进行统计学分析。结果腹腔镜组术后24h、48h及72h的SF-MPQ评分低于开放组（P〈0.05）；腹腔镜组患者重返工作时间及术后住院日明显少于开放组（P〈0.05）；腹腔镜组治疗费用明显高于开放组（P〈0.05）；两组并发症的发生及手术时间差异均无统计学意义（P〉0.05）。结论腹腔镜全腹膜外腹股沟疝修补术具有术后住院时间短、疼痛较轻，重返工作时间短等优点，但治疗费用明显高于Lichtenstein术。腹腔镜全腹膜外腹股沟疝修补术是一种恢复快、创伤小的术式，具有良好的发展前景。

ObjectiveTo compare the clinical effect of total extraperitoneal laparoscopic inguinal hernia repair and Lichtenstein repair. Methods65 patients with inguinal hernia from Shanghai Putuo Hospital during June 2013 to June 2014 were randomly divided into Group TEP and Group Lichtenstein.To Statistic analysis the operation time,the nociception,the time of recovering of working,the time needed to resume normal lifestyle,complications rate,postoperative hospital stay and medical costs.ResultsLaparoscopic group had lower postoperative SF-MPQ score than Lichtenstein group（P〈0.05）.Laparoscopic group shortened the length of postoperative hospital stay and the time needed to resume normal lifestyle （P〈0.05）. But the medical costs of group laparoscopic was higher than group open（P〈0.05）. Postoperative complications of the two groups had no statistical difference（P〉0.05）.Conclusions In this comparative study,the postoperative pain of Laparoscopic is extremely light,the time needed to resume normal lifestyle and postoperative hospital stay is short,and rapid recovery;but the medical costs of group laparoscopic was higher signifi cantly than group open.TEP is a safe,effi cient operation,has good prospects for development and application prospect.