腹腔镜经腹膜前疝修补术与疝环充填式无张力修补术治疗成人腹股沟疝的临床预后对比分析  

Comparative analysis of laparoscopic transperitoneal hernia repair between hernia ring filling tension-free repair in adults with inguinal hernia

作　　者：吕承刚 刘良超 王亚东 程欣[1] 屠佳 LYU Chenggang;LIU Liangchao;WANG Yadong;CHENG Xin;TU Jia(Department of General Surgery,Traditional Chinese Medical Hospital of Wuhu City,Anhui Province,Wuhu241000,China)

机构地区：[1]安徽省芜湖市中医医院普通外科,安徽芜湖241000

出　　处：《中国医药导报》2021年第26期121-124,共4页China Medical Herald

基　　金：安徽省科技攻关计划项目(1607a0202076)。

摘　　要：目的比较分析腹腔镜经腹膜前疝修补术(TAPP)和疝环充填式无张力修补术两种手术方式在治疗腹股沟疝的临床预后。方法选取2017年1月至2020年4月在安徽省芜湖市中医医院接受手术的腹股沟疝患者170例,根据在院施行手术方案分为疝环充填式无张力修补术(对照组,84例)和TAPP(观察组,86例)。比较两组患者手术时间、术后疼痛评分、恢复正常活动时间、术后住院时间、住院费用及并发症总发生率情况。结果两组并发症总发生率比较,差异无统计学意义(P>0.05)。两组手术时间比较,差异无统计学意义(P>0.05)。观察组术后疼痛评分低于对照组、术后恢复正常活动时间、术后住院时间及住院费用均短于对照组,差异均有统计学意义(P<0.05),但观察组住院费用高于对照组,差异有统计学意义(P<0.05)。结论TAPP在成人腹股沟疝的应用中较安全,且具备术后疼痛减轻、患者恢复快等优势,可推广应用于临床。Objective To compare and study the prognosis between different surgical ways of laparoscopic transabdominal preperitoneal(TAPP)hernia repair and mesh plug tension-free hernioplasty.Methods A total of 170 cases of inguinal hernia patients who underwent surgery in Traditional Chinese Medical Hospital of Wuhu City from January 2017 to April 2020 were selected.According to the surgical plan performed in the hospital,they were divided into hernia ring filling tension-free repair(control group,84 cases)and TAPP(observation group,86 cases).The operation time,postoperative pain score,time to return to normal activities,postoperative hospital stays,hospitalization expenses and total incidence of complications were compared between two groups.Results There was no significant difference in total incidence of complications between the two groups(P>0.05).There was no significant difference in operation time between two groups(P>0.05).The postoperative pain score of the observation group was lower than that of the control group,and the postoperative recovery time to normal activities,postoperative hospital stays and hospitalization expenses were shorter than those of the control group,the differences were statistically significant(P<0.05),but the hospitalization expenses of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion TAPP is safer in application of adult inguinal hernia,and has the advantages of postoperative pain reduction and faster recovery of patients,and can be promoted and applied in clinical practice.

关 键 词：腹腔镜 腹膜前疝修补 疝环充填 无张力疝修补术 

分 类 号：R65[医药卫生—外科学]