经腹腹膜前疝修补术与全腹膜外疝修补术治疗双侧腹股沟疝的临床研究

Clinical study of transabdominal preperitoneal hernia repair and total extraperitoneal hernia repair in bilateral inguinal hernia

目的探讨经腹腹膜前疝修补术(TAPP)与全腹膜外疝修补术(TEP)治疗双侧腹股沟疝的临床疗效。方法将我院收治的84例双侧腹股沟疝患者按照手术方式分为TAPP组和TEP组,各42例。比较两组患者临床治疗效果。结果两组患者的手术有效率、并发症总发生率、复发率、术中出血量、VAS评分、疼痛持续时间、术后排气时间比较,无显著差异(P>0.05);TAPP组术中隐匿疝发现率明显高于TEP组(P<0.05)。TEP组手术时间、治疗费用明显优于TAPP组(P<0.05)。结论两种术式均为治疗双侧腹股沟疝的有效术式,临床可根据患者具体情况选择适合的术式。

Objective To investigate the clinical efficacy of transabdominal preperitoneal hernia repair(TAPP)and total extraperitoneal hernia repair(TEP)in bilateral inguinal hernia.Methods Eighty-four patients with bilateral inguinal hernia admitted in our hospital were selected as the study subjects,and divided into TAPP group and TEP group in accordance with the surgical approach,with 42 cases in each group.The clinical effects of the two groups were observed and compared.Results There were no significant differences in the operative efficiency,total incidence of postoperative complication,recurrence rate,the intraoperative bleeding,VAS score,duration of pain,and postoperative exhaust time between the two groups(P>0.05).The discovery rate of occult hernia in the TAPP group was significantly higher than that in the TEP group(P<0.05).The operation time,cost of treatment in the TEP group were significantly better than those in the TAPP group(P<0.05).Conclusion Both surgical procedures are effective inthe treatment of bilateral inguinal hernia,the appropriate surgical procedures can be selected according to the specific circumstances of patients in clinic.