腹腔镜腹股沟疝修补术使用缝线与钛钉固定补片的对比研究

Comparison of using suture and tacker in mesh fixation in laparoscopic hernia repair

目的:对比使用缝线和钛钉两种补片固定方式对腹腔镜腹股沟疝修补术临床效果的影响。方法:回顾性分析单侧腹股沟疝并行腹腔镜疝经腹腔疝修补术(trans-abdominal preperitoneal prosthetic,TAPP)的102例患者,分为缝线固定组(n=40)和钛钉固定组(n=62),比较两组患者在手术时间、住院时间、治疗费用和术后并发症的差异。结果:缝线组的平均手术时间(60.5±4.05)min,钛钉组(45.5±5.79)min,差异有统计学意义(P<0.001);缝线组的平均住院费用比钛钉组低,差异有统计学意义(P<0.001)。钛钉组神经疼痛的发生率达24%,高于缝线组神经痛发生率(5%),差异有统计学意义(P=0.040)。两组患者在平均住院时间及术后血肿、积液的发生率无统计学意义。结论:缝线固定补片是安全可靠、经济实惠且疼痛并发症低的腹腔镜疝修补术补片固定方式。

Objective:To compare various clinical outcomes between mesh fixation using suture and mesh fixation using tacker on laparoscopic inguinal hernia repair.Methods:102 patients diagnosed as unilateral inguinal hernia underwent trans-abdominal preperitoneal prosthetic.These patients were divided into suture group and tacker group.Operation time,hospitalization time,postoperative complications and treatment costs were analyzed retrospectively.Results:The average operation time of the suture group was(60.5±4.05)minutes as well as(45.5±5.79)minutes in tacker group,the difference was statistically significant(P<0.001).The average hospitalization expenses of suture group was lower than tacker group,and the difference was statistically significant(P<0.001).The incidence of neuropathic pain in suture group(5%)was significantly higher than that in tacker group(24%),the difference was statistically significant(P=0.040).There was no significant difference in the average hospital stay and the incidence of postoperative hematoma and hydrops.Conclusions:Suture fixation in mesh fixation is a safe,reliable and economical way to repair inguinal hernia.