腹腔镜下经腹腹膜前修补术及Lichtenstein疝修补术治疗成人腹股沟疝的临床疗效  

Laparoscopic transabdominal preperitoneal repair versus Lichtenstein repair for adult inguinal hernia

作　　者：赵永奎[1] 李辰焰[1] 王海磊[1] Zhao Yongkui;Li Chenyan;Wang Hailei(General Surgery,Chifeng Municipal Hospital,Chifeng 024099,Inner Mongolia,China)

机构地区：[1]赤峰市医院普外科,内蒙古024099

出　　处：《中华疝和腹壁外科杂志（电子版）》2021年第6期625-627,共3页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的比较腹腔镜经腹腹膜前修补术(TAPP)与Lichtenstein疝修补术治疗成人腹股沟疝的临床效果。方法选取2016年1月至2020年1月于赤峰市医院接受手术治疗的成人腹股沟疝患者915例。按照手术方式分为TAPP组(575例)和Lichtenstein组(340例)。回顾性分析比较2组患者围手术期相关指标情况,对比2组术后疼痛评分、术后并发症发生率及复发率。结果 2组患者均顺利完成手术,TAPP组较Lichtenstein组手术时间及首次下床时间较长,差异有统计学意义(P<0.05);2组在术中出血量、术后住院时间、术后各时间点疼痛视觉模拟评分(术后1 d、1周、1及6个月)及术后并发症(腹股沟区异物感、血肿/血清肿、切口感染、尿潴留)及复发率比较,差异均无统计学意义(P>0.05)。结论 TAPP及Lichtenstein疝修补术均能安全有效治疗成人腹股沟疝,但Lichtenstein组手术时间和术后首次下床时间短,临床应根据患者情况个体化选择手术方式。Objective To compare the clinical efficacy of laparoscopic transabdominal preperitoneal repair(TAPP)and Lichtenstein repair for adult inguinal hernia.Methods A retrospective analysis of the clinical data of 915 patients with inguinal hernia in Chifeng Municipal Hospital from January 2016 to January 2020.Of the patients,575 cases were treated with TAPP,and 340 underwent Lichtenstein hernia repair.Retrospective analysis was performed on the perioperative indicators,postoperative pain degree,postoperative complications and recurrence rate of the two groups.Results All operations in the two groups were successful.The operation time and first activity time out of bed were significantly longer in TAPP group than in Lichtenstein group(P<0.05).There was no significant difference in other perioperative indicators(blood loss,postoperative stay),postoperative pain visual analogue scores(1 day,1 week,1 month and 6 months after operation),postoperative complications(foreign body sensation,hematoma/seroma,incision infection,urinary retention)and recurrence rate(P>0.05).Conclusion Both TAPP and Lichtenstein hernia repair are safe and effective for the treatment of inguinal hernia in adults,the Lichtenstein group had shorter operation time and the first time out of bed.The surgical method should be selected individually according to the patient's conditions.

关 键 词：疝 腹股沟 疝修补术 并发症 

分 类 号：R656.21[医药卫生—外科学]