腹腔镜下完全腹膜外补片植入术与经腹腹膜前补片植入术治疗成人腹股沟疝的临床疗效对比

Efficacy of ‘laparoscopic totally extraperitoneal patch implantation'and ‘transabdominal preperitoneal patch implantation'in treating inguinal hernia in adult patients: a comparative study

目的比较腹腔镜下完全腹膜外补片植入术(total extraperitoneal prosthesic operation,TEP)与经腹腹膜前补片植入术(transabdominal preperitoneal,TAPP)治疗成人腹股沟疝的临床效果和安全性。方法按照治疗方法的不同,将114例行腹腔镜腹股沟疝修补术的成人患者分成TAPP组和TEP组,比较两组的手术指标、术后疼痛程度、并发症以及复发率。结果 TEP组的术后下床活动时间明显短于对照组,手术费用明显低于对照组,差异均有统计学意义(P<0.05);两组患者术后的VAS评分、并发症发生率以及复发率比较差异均无统计学意义(P>0.05)。结论TAPP与TEP两种腹腔镜术式均是治疗成人腹股沟疝安全有效的手段。

Objective To evaluate the efficacy and safety of‘laparoscopic totally extraperitoneal patch implantation’(TEP)and‘transabdominal preperitoneal patch implantation’(TAPP)in treating inguinal hernia in adult patients.Method According to the different treatment methods,117adult patients to be subjected to laparoscopic inguinal hernia repair were divided into two groups,namely,TAPP group and TEP group.The surgical indicators,postoperative pain,complications and recurrence rate as observed in the two groups were then compared.Findings The length of post-operative active?time in the TEP group was significantly shorter than that in the control.The cost of operation was significantly less than that of the control group.The?differences were statistically significant(P<0.05).No significant differences in VAS score,complication rate and recurrence rate between the two groups were observed(P>0.05).Conclusion TAPP and TEP laparoscopic surgery both can serve as safe and effective means for treating inguinal hernia in adult patients.