摘要
目的研究腹腔镜下全腹膜外腹股沟疝修补术(TEP)和经腹腔腹膜前腹沟股疝修补术(TAPP)治疗腹股沟疝术后并发症的临床疗效差异。方法选取2013年9月至2015年11月湖北省英山县人民医院收治的110例腹腔镜股沟疝修补手术患者,按照入院先后顺序分为TEP组和TAPP组,各55例,比较两组转归速度、疼痛程度、生活质量以及异物感的差异。结果两组患者手术时间、术中出血量差异无统计学意义。TAPP组切口长度、对侧隐匿性疝发生率均高于TEP组,差异有统计学意义(t=1.713,χ~2=2.968,P=0.000、0.000)。两组术后疼痛持续时间差异无统计学意义,但术后进食时间、下床活动时间、住院时间的差异有统计学意义(t=1.635、2.628、1.748,P=0.000、0.000、0.000)。不同时点疼痛程度VAS评分、生活质量、异物感指标的差异具有统计学意义(P<0.05);术后比较,疼痛程度VAS评分、生活质量、异物感的差异具有统计学意义(P<0.05)。TEP组患者术后并发症发生率少于TAPP组,阴囊气肿、血清肿、腹股沟区域感觉异常的差异有统计学意义(χ~2=5.469、6.275、5.080,P=0.000、0.000、0.000)。结论 TEP与TAPP均是安全有效的术式,两者疗效相当。
Objective To compare the clinical efficacy of total extraperitoneal repair（TEP） and trans-abdominal preperitoneal inguinal hernia repair（TAPP） of the pertoneal cavity in laparoscopy. Methods Between September 2013 and November 2015, one hundred and ten cases of laparoscopic channel xenon repair surgery according to admission order were divided into TEP and TAPP Group, each group of 55 patients, differences of outcome rate, pain level, quality of life, and foreign body sensation between the two groups were compared. Results There was no significant difference in intraoperative time and intraoperative blood loss between the two groups. The incision length of TAPP and the incidence of occult hernia were higher than those of TEP, and the differences were statistically significant（t=1.713, χ^2=2.968, P=0.000, 0.000）. The duration of postoperative pain between the two groups had no statistical significance, but eating time, ambulation time, and postoperative hospitalization time differences were statistically significant（t=1.635, 2.628, 1.748, P=0.000, 0.000, 0.000）. The differences of pain degree VAS score, quality of life and foreign body sensation index in different time points were statistically significant（P〈0.05）. The incidence of postoperative complications in the TEP group was less than that in TAPP group, and the differences in sensory abnormalities in scrotal emphysis, serum swelling and inguinal region were statistically significant（χ^2=5.469, 6.275, 5.080, P=0.000, 0.000, 0.000）. Conclusion Both TEP and TAPPare safe and effective in the treatment of inguinal hernia.
作者
高亚超
胡志
王卓
Gao Yachao;Hu Zhi;Wang Zhuo(The 2nd Department of General Surgery, Hubei Province People’s Hospital of Yingshan County,Huanggang 438700, Chin)
出处
《中华普通外科学文献（电子版）》
2018年第3期204-207,211,共5页
Chinese Archives of General Surgery(Electronic Edition)
关键词
腹股沟疝
疝修技术
腹腔镜
正中切口
Inguinal hernia
Herniorrhaphy
Laparoscopes
Midline incision
