摘要
目的:比较腹腔镜全腹膜外腹股沟疝修补术(TEP)与传统无张力疝修补术的临床效果。方法:选取本院96例腹股沟疝患者随机分为TEP组42例和开放组54例,分别行腹腔镜完全腹膜外腹股沟疝修补术TEP和传统无张力疝修补术。记录和比较两组患者的手术时间、住院时间、治疗总费用、恢复正常活动时间,以及术后各种并发症等情况,以评价两种术式的疗效。结果:两组患者在年龄、疝分型及术后随访时间方面比较差异无统计学意义(P>0.05);与开放组相比,TEP组手术时间较长(P<0.01),住院费用较高(P<0.01),但住院时间较短(P=0.004),恢复正常活动时间短(P=0.008),术后并发症情况显著降低(P=0.045)。结论:TEP具有创伤小、住院时间短、恢复快、术后并发症少等优点,是目前治疗成人腹股沟疝较为理想的术式,值得大力推广。
Objective： To compare the clinical effects of the Laparoscopic total extraperitioneal hernia repair （TEP） with traditional tension-free repair of inguinal hernia.Method： 96 patients with inguinal hernia in our hospital were selected and randomly divided into TEP group（n=42） and open group（n=54）,were given TEP and traditional without tension hernia repair 54 cases treated group,espectively. Operating time, postoperative hospital stay, consumption in the hospital, the time to resumption of normal activities,the occurrence of postoperative complications of two groups were recorded and compared,evaluated the clinical effects.Result：The difference of age, hernia parting and postoperative follow-up time of two groups had no statistical significance （P〉0.05）.Compared with open group ,the operating time in TEP group was longer（P〈0.01）,consumption in the hospital was higher（P〈0.01）,but the postoperative hospital stay was shorter（P=0.004）,the time to resumption of normal activities was less （P=0.008）,the occurrence of postoperative complications （P=0.045）was less.Conclusion：TEP is an ideal surgical method for the treatment of adult inguinal hernia due to its advantages in minimal trauma, faster recovery,less postoperation complations,and worthy of being generalized.
出处
《中国医学创新》
CAS
2015年第31期46-49,共4页
Medical Innovation of China
基金
2011年辽宁省自然科学基金项目(201102006)
关键词
腹股沟疝
腹腔镜完全腹膜外疝修补术
无张力疝修补术
Inguinal hernia
Total extraperitioneal hernia repair
Tension-free repair of inguinal hernia
