Kugel和TAPP修补术治疗成人腹股沟疝的效果比较

Effect comparison of Kugel and TAPP in the treatment of adults inguinal hernia

目的 比较经疝环入路改良Kugel疝修补术(改良Kugel修补术)与腹腔镜经腹腹膜前疝修补术(TAPP修补术)治疗成人腹股沟疝的效果.方法 回顾性分析2015年1月~2017年3月我院收治的173例成人腹股沟疝的临床资料,其中行改良Kugel修补术78例;行TAPP术95例.比较两组手术指标[疝囊颈直径、手术时间、视觉模拟评分法(VAS)评分],术后并发症(疼痛程度、血肿、积液、异物感)及术后2年复发情况.结果 两组的疝囊颈直径、手术时间、VAS评分比较,差异无统计学意义(P>0.05).两组早期疼痛、慢性疼痛发生率和术后并发症发生率比较,差异无统计学意义(P>0.05).随访2年,两组术后复发率比较,差异无统计学意义(P>0.05).结论 改良Kugel修补术和TAPP修补术治疗成人腹股沟疝的效果相同,可根据适应证和患者情况选择治疗.

Objective To compare the clinic effect of modified-Kugel and transabdominal preperitoneal repair(TAPP)in the treatment of adults inguinal hernia.Methods The clinical data of 173 patients with inguinal hernia treated in our hospital from January 2015 to March 2017 were retrospectively analyzed.Patients were divided into modified-Kugel group(78 cases)and the TAPP group(95 cases).The differences in surgical indicators(diameter of hernia sac,operation time,visual analogue scale[VAS]),postoperative complications(pain degree,hematoma,effusion,foreign body sensation)and recurrence after 2 years were compared between the two groups.Results There were no significant differences in the diameter of hernia sac neck,operation time and VAS score between the two groups(P>0.05).There were no significant difference in the incidence rates of early pain,chronic pain and postoperative complications between the two groups(P>0.05).After 2 years follow-up,there was no significant difference in recurrence rate between the two groups(P>0.05).Conclusion Modified-Kugel repair and TAPP repair have the same effect treating adult inguinal hernia.Treatment can be selected according to the indication and the specific situation of the patient.