Lichtenstein术式与TEP术式在复发性腹股沟疝修补术中的对比  

Comparison of Lichtenstein Operation and TEP Operation in Recurrent Inguinal Hernia Repair

作　　者：张华明 ZHANG Huaming.(Jingmen City Dongbao District Qiaolou Town Health Center, Jingmen 448000, Chin)

机构地区：[1]荆门市东宝区牌楼镇卫生院,湖北荆门448000

出　　处：《中外医学研究》2018年第7期18-20,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨Lichtenstein术式与TEP术式治疗复发性腹股沟疝修补术患者的临床效果及应用价值。方法:观察组患者采用Lichtenstein术式进行治疗,对照组患者采用TEP术式进行治疗;观察术中指标、术后近期指标,在手术治疗前、术后第3天及术后1周时评估疼痛情况,记录患者并发症及复发率情况。结果:两组术中出血量比较差异无统计学意义(P>0.05);观察组患者手术时间显著低于对照组,差异有统计学意义(P<0.05)。术前两组患者VAS评分比较差异无统计学意义(P>0.05);术后第3天及术后1周时两组患者VAS评分均显著降低,差异均有统计学意义(P<0.05),术后第3天观察组患者VAS评分显著低于对照组,差异有统计学意义(P<0.05),术后1周两组患者VAS评分比较差异无统计学意义(P>0.05)。两组术后并发症发生率和疝复发率比较差异无统计学意义(P>0.05)。结论:采用Lichtenstein术式与tep术式治疗复发性腹股沟疝疗效相当,但前者更能促进恢复,杜绝复发。Objective：To investigate the clinical efficacy and application value of Lichtenstein operation and TEP operation in the treatment of recurrent inguinal hernia repair.Method：The observation and control group were treated by Lichtenstein and TEP surgical treatment.The intraoperative indicators and shortterm indicators were evaluated,and the pain was assessed before and after surgery,3 days after surgery and 1 week after surgery, and the complications and recurrence rate were recorded.Result：There was no statistically significant difference of bleeding amount between the two groups（P〈0.05）.The operation time was significantly lower in the observation group than in the control group,the difference was statistically significant（P〈0.05）. There was no significant difference in VAS score between the two groups before the operation（P〉0.05）.The VAS scores were significantly reduced in both groups after 3 days and 1 week after surgery,the differences were statistically significant（P〈0.05）,there was no significant difference in VAS score between the two groups in 1 week after surgery（P〈0.05）.The incidence of postoperative complications and hernia recurrence rate were not statistically significant between the two groups（P〈0.05）.Conclusion：Lichtenstein and TEP are effective,but the former is more likely to promote recovery and prevent recurrence.

关 键 词：LICHTENSTEIN术式 TEP术式 复发性腹股沟疝 修补术 

分 类 号：R656.21[医药卫生—外科学]