摘要
目的比较腹腔镜腹膜前疝修补术(TAPP)与Lichtenstein疝修补术治疗腹股沟疝的临床效果。方法选择黄冈市中心医院2014年1月至2016年5月收治的腹股沟疝患者224例,其中,108例患者行腹腔镜TAPP治疗(TAPP组),116例行Lichtenstein疝修补术(Lichtenstein组)治疗,对2组患者的手术时间、术中出血量、住院时间、术后首次进食时间、术后首次下床活动时间、治疗费用、术后并发症发生率及腹股沟疝复发率进行比较。结果 TAPP组患者手术时间、术后首次进食时间、术后首次下床活动时间、住院时间短于Lichtenstein组(P<0.05),治疗费用高于Lichtenstein组(P<0.05),2组患者术中出血量比较差异无统计学意义(P>0.05)。TAPP组和Lichtenstein组患者并发症发生率分别为2.78%(3/108)、4.31%(5/116),2组患者并发症发生率比较差异无统计学意义(χ~2=0.381,P>0.05)。2组患者均无腹股沟疝复发。结论与Lichtenstein疝修补术相比,腹腔镜TAPP治疗腹股沟疝手术创伤小,手术时间短,患者康复快,但治疗费用高。
Objective To compare the clinical effect of laparoscopic transabdominal preperitoneal prosthesis（ TAPP）and Lichtenstein herniorrhaphy in the treatment of inguinal hernia. Methods A total of 224 patients with inguinal hernia were selected from January 2014 to May 2016 in Huanggang Central Hospital. Among the patients,108 patients were treated with laparoscopic TAPP（ TAPP group）,and 116 patients were treated with Lichtenstein herniorrhaphy（ Lichtenstein group）. The operation time,intraoperative bleeding volume,postoperative hospitalization time,the first postoperative eating time,the first ambulation time after operation,treatment cost,the incidence of postoperative complications and the recurrence rate of inguinal hernia were compared between the two groups. Results The operation time,the first postoperative feeding time,the first ambulation time after operation,postoperative hospitalization time in the TAPP group were significantly shorter than those in the Lichtenstein group（ P〈0. 05）. The treatment cost in the TAPP group was significantly higher than that in the Lichtenstein group（ P〈0. 05）. There was no significant difference in intraoperative bleeding volume between the two groups（ P〈0. 05）. The incidence of complications in TAPP group and Lichtenstein group was 2. 78%（ 3/108） and 4. 31%（ 5/116） respectively,there was no significant difference in the incidence of complications between the two groups（ χ^2= 0. 381,P〈0. 05）. There was no recurrence of inguinal hernia in the two groups. Conclusion Compared with Lichtenstein herniorrhaphy,laparoscopic TAPP for inguinal hernia has less trauma,shorter operation time,quicker recovery and higher treatment cost.
出处
《新乡医学院学报》
CAS
2017年第11期1005-1007,1011,共4页
Journal of Xinxiang Medical University
