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比较TAPP和TEP对成人腹股沟疝的临床治疗效果 被引量:4

Comparison of Clinical Effects of TAPP and TEP on Adult Inguinal Hernia
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摘要 目的分析比对TAPP与TEP对成人腹股沟疝的临床治疗效果。方法随机选取本院于2018年2月-2019年2月收治的成人腹股沟疝行腹腔镜腹股沟疝修补术治疗患者共计168例,随机分为观察组82例,采用完全腹膜外修补法手术,对照组86例,采用腹腔镜经腹腹膜前修补法手术。对比两组患者经手术治疗后的临床治疗效果。结果观察组手术治疗后其临床治疗效果与对照组患者相差无几,(P> 0.05)。而前者手术费用较对照组患者更低,(P <0.05)。结论应用TAPP与TEP手术方法治疗成人腹股沟疝患者,整体治疗效果与安全性均较好,但TEP手术方法患者手术费用较TAPP手术方法更低,值得推广应用。 Objective To analyze the clinical therapeutic effect of TAPP and TEP on adult inguinal hernia. Methods A total of 168 patients who underwent laparoscopic inguinal hernia repair in our inguinal hernia from February 2018 to February 2019 were randomly selected and randomly divided into observation group(n=82). Complete peritoneal repair surgery was performed. 86 cases were compared with the control group, and laparoscopic peritoneal preperitoneal repair was performed. The clinical effects of the two groups of patients after surgery were compared. Results The clinical treatment effect of the observation group after surgery was similar to that of the control group(P > 0.05). The cost of surgery in the former was lower than that in the control group(P < 0.05). Conclusion The application of TAPP and TEP in the treatment of adult patients with inguinal hernia has better overall treatment and safety. However, the cost of surgery for TEP is lower than that of TAPP. It is worthy of popularization and application.
作者 钱文龙 杨春辉 李云云 张闻君 许力天 李林 张华 QIAN Wenlong;YANG Chunhui;LI Yunyun;ZHANG Wenjun;XU Litian;LI Lin;ZHANG Hua(Department of Surgery,Kunming Guandu District People's Hospital,Kunming Yunnan 650000,China)
出处 《中国继续医学教育》 2019年第34期133-135,共3页 China Continuing Medical Education
基金 昆明市卫生健康委员会卫生科研课题项目(名称:腹腔镜完全腹膜外与经腹腹膜前疝修补术的临床对照研究;编号:2018-04-01-003)
关键词 TAPP TEP 腹股沟疝修补术 手术费用 腹股沟疝 随访率 TAPP TEP inguinal hernia repair surgical cost inguinal hernia follow-up rate
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