经腹腔镜全腹膜外疝修补术与经腹腹膜前疝修补术治疗腹股沟疝的临床效果比较

Comparison of Clinical Effect of Trans-laparoscopic Total Extraperitoneal Hernia Repair and Transabdominal Preperitoneal Hernia Repair in the Treatment of Inguinal Hernia

目的:比较经腹腔镜全腹膜外疝修补术(TEP)与经腹腹膜前疝修补术(TAPP)治疗腹股沟疝的效果。方法:选取2021年3月—2023年3月佛山市南海区第五人民医院收治的腹股沟疝患者80例为研究对象,根据随机原则分为观察组与对照组,各40例。观察组采取TEP治疗,对照组采取TAPP治疗。比较两组手术指标、术后恢复情况、并发症发生率。结果:观察组手术时间、首次下床时间、术后住院时间短于对照组(P<0.05);两组术中出血量比较,差异无统计学意义(P>0.05)。两组并发症总发生率比较,差异无统计学意义(P>0.05)。结论:TEP治疗腹股沟疝的效果优于TAPP,可缩短手术时间及术后恢复时间。

Objective:To compare the effect of trans-laparoscopic total extraperitoneal hernia repair(TEP)and transabdominal preperitoneal hernia repair(TAPP)in the treatment of inguinal hernia.Methods:Eighty cases of inguinal hernia patients admitted to Foshan Nanhai District Fifth People's Hospital from March 2021 to March 2023 were selected for the study,and were divided into an observation group and a control group,each with forty cases,according to the principle of randomization.The observation group was treated with TEP and the control group was treated with TAPP.Compare the surgical indexes,postoperative recovery and complication rate of the two groups.Results:The operation time,first time out of bed,and postoperative hospitalization time of the observation group were shorter than that of the control group(P<0.05);the difference in intraoperative bleeding between the two groups was not statistically significant(P>0.05).And the difference in the total incidence of complications between the two groups was not statistically significant(P>0.05).Conclusion:TEP is more effective than TAPP in treating inguinal hernia,and can shorten the operation time and postoperative recovery time.