摘要
目的:探讨经腹腔镜腹膜前疝修补术(transabdominal preperitoneal prosthesis,TAPP)与无张力疝修补术(tension free hernia repair,TFHR)两种手术方式治疗成人腹股沟疝的临床疗效及优缺点比较。方法:选取50例行腹腔镜疝修补术的患者为观察组,50例行开放式无张力疝修补术对照组的患者为对照组,回顾性比较分析两组临床资料。结果:观察组在手术时间方面比对照组长(P<0.05)、术后疼痛时间及住院时间等方面比对照组少(P<0.05),但是其住院费用则高于对照组(P<0.05)。在术后并发症上,两组患者的临床数据经比较无统计学差异(P>0.05)。结论:TAPP和TFHR都是治疗腹股沟疝的有效术式,两种术式各有其优缺点,在治疗时应该根据患者的综合情况来考虑选择,遵循个体化、规范化原则。
Objective：To compare the clinical curative effect,advantages and disadvantages of tension-free hernia repair（TFHR） and transabdominal preperitoneal prosthesis（TAPP） in adult patients with inguinal hernia.Methods：Fifty cases received laparoscopic hernia repair were included in the observation group and another 50 treated with open tension free hernia repair were in control group.The clinical data were retrospectively analyzed and compared between groups.Results：The observation group had significantly shorter operative time,lower pain duration and shorter hospital stay after operation,yet had higher hospitalization expenses（all P〈0.05）.However,the incidence of complications and their recurrence rate had no significant difference between groups（P〉0.05）.Conclusion：Both TAPP and TFHR are effective for inguinal hernia repair,and have individual advantages and disadvantages.However,treatment options should be based on the patient′s condition,and follow tailored and standardized principles in practice.
出处
《皖南医学院学报》
CAS
2017年第2期134-137,共4页
Journal of Wannan Medical College
关键词
腹腔镜
无张力修补术
腹股沟疝
inguinal hernia
laparoscopy
tension-free hernia repair
