摘要
目的比较腹腔镜经腹腔腹膜前腹股沟疝修补术(TAPP)与Lichtenstein修补术治疗腹股沟疝的临床应用价值。方法分别对46例接受TAPP手术与140例接受Lichtenstein修补术的腹股沟疝患者的临床资料进行回顾性分析。结果两组在手术时间、术后下床活动时间、生活自理时间、住院天数、恢复日常工作天数方面,均无显著性差异(P>0.05),两组术后均无复发。结论腹腔镜经腹腔腹膜前腹股沟疝修补术与Lichtenstein修补术均为腹股沟疝的良好修补法,但复发疝、双侧疝及腹腔联合手术的患者更适合选择腹腔镜手术。
Objective To compare the effectiveness and cost between laparoscopic transabdominal preperitoneal repair （ TAPP） and open Lichtenstein repair for inguinal hernia.Methods Lichtenstein operation was used for 140 patients of inguinal hernia,and other 46 patients were treated by laparoscopic transabdominal preperitoneal repair.We compared the operation time,post-operation recovery and recurrence rate between two groups. Results The operation time,the moving and recovering time,hospital stay,the days recovering ordinary work in two groups were no diference（P0.05）.There were no recurrence in the two groups. Conclusions Lichtenstein operation and laparoscopic transabdominal preperitoneal repair are all perfect surgical procedures for inguinal hernia.For the recurrent inguinal hernia,bilateral inguinal hernia or combined surgical operation,laparoscopic repair may be a better choice.
出处
《中华疝和腹壁外科杂志（电子版）》
2010年第3期54-56,共3页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
基金
国家科技部十一五科技支撑计划"牧区高发疾病防治技术研究"项目重大课题子课题(编号2007BAI07A14)
关键词
疝
腹股沟
腹腔镜
疝修补术
Hernia
inguinal
Laparoscopes
Herniorrhaphy
