TEP与Lichtenstein在疝修补术中的临床对比研究  

Comparative Study of TEP and Lichtenstein in the Repair of Hernia

作　　者：申亚伟[1] 黄新[1] 马小安[1] 唐毅[1] SHEN Yawei HUANG Xin MA Xiaoan et al(The Central Hospital of Xi＇an, Shanxi Xi＇an 710003, China)

机构地区：[1]陕西省西安市中心医院普一科,陕西西安710003

出　　处：《河北医学》2017年第6期927-930,共4页Hebei Medicine

基　　金：陕西省社会发展科技公关项目(编号:2015SF068)

摘　　要：目的:对TEP与Lichtenstein在疝修补术中的临床应用进行对比研究。方法:选取西安市中心医院普一科自2013年3月至2015年2月收治的106例采用TEP手术的患者和同时期104例采用Lichtenstein手术的腹股沟疝患者资料作为研究对象,回顾分析两组患者的手术时间、术后早期疼痛评分、术中出血量、术后下床时间、平均住院时间、住院费用和术后并发症发生率等指标。结果:两组患者手术顺利,无严重术中及术后并发症发生。TEP操作组在术中出血量、术后下床时间、平均住院时间方面均短于Lichtenstein组,差异具有统计学意义(P<0.05),手术费用高于Lichtenstein组(P<0.05),两组在手术时间方面相比差异无统计学意义(P>0.05)。回顾分析两组患者术后5d及出院随访6个月的资料,TEP组在术后异物感、尿储留、阴囊血清肿、术后早期疼痛评分、术后长期慢性神经疼痛发生率方面均低于Lichtenstein组(P<0.05)。两组在皮下血肿及术后复发率方面差异均无统计学意义(P>0.05)。结论:TEP手术具有微创、术后患者病情恢复快、痛苦小、并发症少的优点,值得推广应用。Objective：To compare the clinical application of TEP and Lichtenstein in hernia repair.Methods： A total of 106 patients with TEP were treated with PEP from March 2013 to February 2015, and 104 patients with inguinal hernia treated with Lichtenstein were selected as the subjects.The patients in the two groups were enrolled in this study.The operation time, postoperative pain score, intraoperative blood loss, postoperative bed time, average hospital stay, hospitalization costs and postoperative complications of two groups were retrospectively analyzed.Results： The two groups of patients with smooth operation, no serious intraoperative and postoperative complications （P〈0.05）.The cost of operation was significantly higher than that of Lichtenstein group （P 〈0.05）.The operation time of TEP group was significantly lower than that of Lichtenstein group （P〈0.05）.The difference was not statistically significant （P〉 0.05）.The levels of foreign body sensation, urine retention, scrotal serema, early postoperative pain score and long-term chronic neuropathic pain were observed in the TEP group after 5 days of operation and 6 months of follow-up.Retrospective analysis of two groups of patients after 5 days and 6 months of follow-up, the TEP group in postoperative foreign body sensation, urinary retention, scrotal seroma, early postoperative pain score, postoperative long-term chronic neuropathic pain incidence were lower than group Lichtenstein （P〈0.05）.Conclusion：TEP has the advantages of minimally invasive surgery, rapid recovery of patients after surgery, less pain, less complications, worthy of promotion and application.

关 键 词：腹腔镜 腹股沟疝 TEP LICHTENSTEIN无张力疝修补术 

分 类 号：R656.21[医药卫生—外科学]