TAPP与TEP治疗腹股沟疝的临床对比研究

Clinical Comparison of TAPP and TEP in the Treatment of Inguinal Hernia

目的探讨TAPP与TEP治疗腹股沟疝的临床治疗效果。方法选取2015年1月-2017年12月至本院行腹腔镜疝修补手术的单侧腹股沟疝患者134例为观察对象,按手术方式的不同随机分为TEP组及TAPP组两组。对比分析两组的手术时间、手术出血量、住院时间、住院费用、术后24 h急性疼痛评分(VSA)、并发症发生率。结果 TEP组手术时间、住院费用明显短于或少于TAPP组,差异具有统计学意义。术后24 h急性疼痛评分(VSA)两组相比差异无统计学意义。TEP与TAPP在手术出血量、住院时间、并发症发生率方面差异无统计学意义。结论 TAPP并不增加术后早期急性疼痛的发生率,TAPP与TEP均是治疗腹股沟疝的有效方式。

Objective To investigate the clinical efficacy of TAPP and TEP in the treatment of inguinal hernia. Methods 134 cases of unilateral inguinal hernia Patients who underwent laparoscopic herniorrhaphy from January 2015 to December 2017 in our hospital were selected as observation objects, and were randomly divided into TEP group and TAPP group according to different surgical methods. The operative time, operative blood loss, hospitalization time, hospitalization cost, acute pain score(VSA) 24 hours after surgery and complication rate of the two groups were compared and analyzed. Results The operation time and hospitalization cost of TEP group were significantly shorter than that of TAPP group. There was no significant difference in acute pain score(VSA) between the two groups at 24 hours after operation. There was no significant difference between TEP and TAPP in bleeding volume, hospitalization time and complication rate. Conclusion TAPP does not increase the incidence of early postoperative acute pain, and both TAPP and TEP are effective ways to treat inguinal hernia.