TEP与TAPP治疗单侧腹股沟疝临床疗效比较

Comparison of Clinical Effects of TEP and TAPP on Unilateral Inguinal Hernia

目的:分析比较腹腔镜下完全腹膜外修补法(TEP)与腹腔镜经腹腹膜前修补法(TAPP)治疗单侧腹股沟疝临床疗效。方法:选取2015年4月至2019年5月大理大学第一附属医院诊断为单侧腹股沟疝并行腹腔镜下疝无张力修补术治疗的患者166例为研究对象,其中TEP组79例,TAPP组87例。比较两种术式手术时间、术中出血量、术后相关并发症发生率、住院天数、总住院费用、术后半年复发率等指标。结果:两种术式在手术时间、术中出血量、术后相关并发症发生率、住院天数、术后半年复发率方面比较差异无统计学意义(P>0.05)。总住院费用TEP组较TAPP组低,差异有统计学意义(P<0.05)。结论:TEP与TAPP均能安全、有效地治疗腹股沟疝,但TEP组较TAPP组治疗费用低。

Objective:To analyze the clinical effects of laparoscopic total extraperitoneal repair(TEP)and laparoscopic transabdominal preperitoneal repair(TAPP)on unilateral inguinal hernia.Methods:From April 2015 to May 2019,166 patients with unilateral inguinal hernia and laparoscopic hernioplasty in the First Affiliated Hospital of Dali University were selected as subjects,including 79 patients in the TEP group and 87 patients in the TAPP group.Operative times,intraoperative blood losses,incidences of postoperative related complications,lengths of stay,hospitalization cost,and recurrence rates in the following six months were investigated.Results:There was no statistical significance between the two groups in the operative times,intraoperative blood losses,incidences of postoperative related complications,lengths of stay and recurrence rates in the following six months(P>0.05).While the hospitalization cost in the TEP group were significantly lower than those of the TAPP group(P<0.05).Conclusion:Both TEP and TAPP can treat inguinal hernia safely and effectively,but the hospitalization cost of the TEP group were lower than the TAPP group.