腹腔镜TAPP与开放无张力疝修补术治疗腹股沟嵌顿疝的临床对比研究

Clinical Comparative Studyof Laparoscopic TAPP and Open Tension-free Hernia Repair for Incarcerated Inguinal Hernia

目的:对比研究腹腔镜TAPP与开放无张力疝修补术治疗原发性、复发性腹股沟嵌顿疝的临床价值。方法:将某院2019年1月~2020年12月期间收治的150例原发性、复发性腹股沟嵌顿疝患者随机分为C组和T组各75例,分别实施开放无张力疝修补术治疗、腹腔镜TAPP治疗,对比两组患者的手术效益和术后并发症的发生率。结果:T组患者手术所耗时间较C组长(P<0.05),但术中出血量少于C组(P<0.05),下床活动时间及住院所耗时间均短于C组(P<0.05);T组共8%的患者发生术后并发症,低于C组的24%(P<0.05)。结论:相较于传统开放术,腹腔镜TAPP能有效提高手术效益,降低术后并发症。

Objective:To compare the clinical value of laparoscopic TAPP and open tension-free hernia repair in the treatment of primary and recurrent incarcerated inguinal hernia.Methods:150 patients with primary and recurrent inguinal incarcerated hernia admitted to a hospital from Jannuary 2019 to December 2020 were randomly divided into group C and group T,with 75 cases in each group,which were treated by open tension-free hernia repair and laparoscopic TAPP.The surgical effect and the incidence of postoperative complications in the two groups were compared.Results:The time of operation in group T was lower than that of group C(P<0.05),but the bleeding was less than that of group C(P<0.05).The off-bed activity time and the hospitalization time in the group T were shorter than those in the group C(P<0.05).A total of 8%of patients in the group T had postoperative complications,which was lower than 24%in the group C.Conclusion:Compared with the traditional open surgery,laparoscopic TAPP can effectively improve the operation efficiency and reduce the postoperative complications.