TAPP与开放网塞加平片修补术治疗腹股沟疝的疗效对比分析

Comparative analysis on effects of TAPP and open mesh plug and flat plate tension⁃free hernia repair on inguinal hernia

目的对比分析经腹腹膜前(transabdominal preperitoneal,TAPP)疝修补术与开放网塞加平片无张力疝修补术(open mesh plug and flat plate tension-free hernia repair,Rutkow)治疗腹股沟疝的疗效。方法将收治的100例腹股沟疝患者随机分成对照组与观察组,每组各50例。对照组接受Rutkow手术,观察组接受腔镜TAPP疝修补术对比两组的疗效。结果观察组的并发症(包括切口感染、复发、血清肿、尿潴留以及睾丸疼痛)明显少于对照组(6%对26%,P<0.05)。结论TAPP治疗腹股沟疝,手术风险和并发症较少,康复快,值得应用。

Objective To comparatively analyze transabdominal preperitioneal hernia(TAPP)repair and open mesh plug and flat plate tension-free hernia repair(Rutkow)on inguinal hernia.Methods A total of 100 patients with inguinal hernia were randomly divided into a control group and an observation group with 50 patients in each group.The control group received Rutkow surgery and the observation group received endoscopic TAPP surgery to compare the efficacy of the two groups.Results Complications including incision infection,recurrence,seroma,urinary retention,and testicular pain in the observation group were less than those in the control group(6%vs.26%,P<0.05).Conclusion TAPP repair for inguinal hernia produces less surgical complications,lower operational risks,and faster recovery,thus it is worthy of application.