TAPP与TEP治疗单侧腹股沟疝患者的随机对照

A Randomized Control Study of TAPP and TEP in the Treatment of Unilateral Inguinal Hernia

目的:对比腹腔镜经腹腔腹膜前疝修补术(transabdominal preperitoneal prosthetic,TAPP)与完全腹膜外腹腔镜疝修补术(totally extraperitoneal prosthesis,TEP)对单侧腹股沟疝的临床治疗效果。方法:将56例单侧腹股沟疝患者随机分为两组,对照组28例患者选择TAPP术进行治疗,实验组28例患者选择TEP术进行治疗,对两组手术情况、术后并发症发生情况和复发情况进行比较。结果:对照组与实验组的手术时间、术中出血量、术后恢复时间、住院时间相比,无统计学差异(P>0.05);两组住院费用相比,实验组比对照组少,组间有统计学差异(P<0.05);实验组术后并发症发生率(7.1%)低于对照组(28.6%),组间统计学差异(P<0.05);两组患者术后复发率相比,无统计学差异(P>0.05)。结论:TAPP与TEP治疗单侧腹股沟疝均可取得理想的治疗效果,但相比于TAPP,TEP具有并发症发生率低,住院费用少,经济可行,安全可靠等优势。

Objective: To compare the clinical therapeutic effects of TAPP and TEP on unilateral inguinal hernia. Methods: 56 cases patients with unilateral inguinal hernia were randomly divided into two groups, 28 patients in the control group were treated with TAPP, and 28 patients in the experimental group were treated with TEP. The surgical conditions and postoperative complications of the two groups Compare with recurrence. Results: There was no statistical difference between the control group and the experimental group in terms of surgical time, intraoperative blood loss, postoperative recovery time, and length of hospitalization(P>0.05). Compared with the two groups, the experimental group had less hospitalization costs. There were statistical differences between the groups(P<0.05);the incidence of postoperative complications(7.1%) in the experimental group was lower than that in the control group(28.6%), and there was a statistical difference between the groups(P<0.05);postoperative recurrence between the two groups There was no statistical difference between the rates(P>0.05). Conclusion: TAPP and TEP can achieve ideal therapeutic effect on unilateral inguinal hernia, but compared with TAPP, TEP has the advantages of low incidence of complications, low hospitalization costs, economic feasibility, safety and reliability.