经腹腔腹膜前补片置入术治疗腹股沟疝疗效观察

目的观察经腹腔途径腹膜前补片置入术（TAPP）治疗腹股沟疝的疗效。方法2014年8月至2016年8月行TAPP治疗腹股沟疝患者127例为观察组。同期开放式腹股沟疝修补术患者193例为对照组。比较两组手术时间、住院费用、术后住院时间等及术后并发症的发生情况。结果观察组平均住院费用高，手术时间较长、出血多，与对照纽比较差异有统计学意义（P〈0．05）；但术后恢复快、住院时间短，术后部分并发症（术后切口感染、补片排斥、疼痛）的总发生率明显降低（P〈0．05）。结论TAPP术与开放疝修补术各有优缺点，应根据患者个体情况综合考虑采取适合手术方式。

Objective To observe the effect of transabdominal preperitoneal prosthetic （TAPP） in the treatment of inguinal hernia. Methods From August 2014 to August 2016, the 127 cases oftransabdominal prepcritoneal prosthetic （ TAPP ） were selected as observation group and 193 cases of open hernia repair in the same period as the control group.The operation time, hospitalization expenses, postoperative hospital stay and postoperative complications were compared between the two groups. The operation time, postoperative hospital stay, hospital expenses and the postoperative complications were compared. Results Observation group had the high cost of hospitalization, average beginner surgery for a long time, bleeding, compared with control group, the difference was statistically significant （P〈0.05） ; but quick recovery, shorter hospitalization time, significantly lower incidence of postoperative complications （postoperative incision infection, patch exclusion, pain ） of part of the total （ P〈0.05 ） . Conclusion TAPP technique and open hernia repair have their own advantages and disadvantages which should be taken comprehensive consideration according to individual patients condition suitable operation method.