腹腔镜腹膜前疝修补术与普理灵疝装置无张力疝修补术的比较分析  

Comparative Study of Abdominal Preperitoneal Laparoscopic and Prolene Hernia System of Tension-free of Hernia Repair

作　　者：金海敏[1] 黄海[1] 李晔[1] 

机构地区：[1]浙江中医药大学附属广兴医院,杭州310007

出　　处：《浙江中医药大学学报》2011年第4期546-548,共3页Journal of Zhejiang Chinese Medical University

摘　　要：[目的]比较腹腔镜腹膜前疝修补术(Transabdominal Preperitoneal Herniorrhaphy,TAPP)与普理灵疝装置无张力疝修补术(Prolene Hernia System,PHS)治疗腹股沟疝的疗效。[方法]回顾性分析2008年9月至2010年5月共90例腹股沟疝修补术病例资料,TAPP组36例,PHS组54例。[结果]二者术后并发症均低下;与PHS组相比,TAPP组平均住院时间更短(P<0.05),手术时间及手术费用相对较高(P<0.05),TAPP另具探查对侧及隐匿疝的独特优势。[结论]TAPP术后住院时间短、恢复快,尤其对复发性疝、双侧疝及隐匿疝更具优势。[Objective]To compare the efficacy of treatment of inguinal hernia by abdominal preperitoneal laparoscopic hernia repair（Transabdominal Preperitoneal Herniorrhaphy,TAPP）and by Prolene hernia system tension-free hernia repair（Prolene Hernia System,PHS）.[Methods]A retrospective analysis from September 2008 to May 2010 a total of 90 patients with clinical data of inguinal hernia repair,TAPP group of 36 cases,PHS group of 54 patients.[Results]Both complications were low;compared with PHS,TAPP group,the average hospital stay shorter（3.54 ± 1.42 vs.5.36 ± 1.35,P0.05）,Operation time and relatively high cost of surgery（P0.05）.[Conclusion]TAPP and PHS are both safe and effective surgical inguinal hernia repairs.TAPP has feature of shorter postoperative hospital stay,rapid recovery,especially for recurrent hernia,bilateral hernia,and hidden hernia.

关 键 词：腹股沟疝 TAPP PHS 

分 类 号：R256[医药卫生—中医内科学]