TAPP与TEP治疗腹股沟疝的有效性及安全性分析  

Analysis of effectiveness and safety of TAPP and TEP in the treatment of inguinal hernia

作　　者：李路 LI Lu(Department of Gastrointestinal Surgery,Chaoyang Second Hospital,Chaoyang 122000,China)

机构地区：[1]朝阳市第二医院胃肠外科,122000

出　　处：《中国现代药物应用》2023年第17期47-49,共3页Chinese Journal of Modern Drug Application

摘　　要：目的分析腹腔镜经腹腹膜前疝修补术(TAPP)与腹腔镜全腹膜外疝修补术(TEP)治疗腹股沟疝的有效性及安全性。方法60例腹股沟疝患者,随机分为对照组和试验组,每组30例。对照组患者采取腹腔镜全腹膜外疝修补术治疗,试验组患者采取腹腔镜经腹腹膜前疝修补术治疗。比较两组患者手术相关指标、并发症发生情况、对手术效果的满意度、复发情况。结果试验组患者手术时间(72.1±10.9)min长于对照组的(56.3±8.5)min,术中出血量(25.2±9.1)ml少于对照组的(48.7±12.3)ml,术后下床时间(14.3±2.5)h短于对照组的(28.4±3.1)h,差异具有统计学意义(P<0.05)。试验组患者并发症发生率为3.33%,低于对照组的20.00%,差异具有统计学意义(P<0.05)。试验组患者复发率0低于对照组的3.33%,对手术效果的满意度96.67%高于对照组的86.67%,但差异无统计学意义(P>0.05)。结论采取腹腔镜经腹腹膜前疝修补术对腹股沟疝患者进行治疗效果明显,术中出血量少,术后恢复快,安全性高,且复发率低,值得临床推广应用。Objective To analyze the effectiveness and safety of transabdominal preperitoneal repair(TAPP)and total extrapentioneal repair(TEP)in the treatment of inguinal hernia.Methods A total of 60 patients with inguinal hernia were randomly divided into control group and experimental group,with 30 cases in each group.The control group was treated with total extrapentioneal repair,and the experimental group was treated with transabdominal preperitoneal repair.The surgery related indexes,the occurrence of complications,the satisfaction with surgical effect and the recurrence of the two groups were compared.Results The operative time of(72.1±10.9)min in the experimental group was longer than that of(56.3±8.5)min in the control group;the intraoperative blood loss of(25.2±9.1)ml in the experimental group was less than that of(48.7±12.3)ml in the control group;the postoperative off-bed ambulation time of(14.3±2.5)h in the experimental group was shorter than that of(28.4±3.1)h in the control group;the differences were statistically significant(P<0.05).The complication rate of the experimental group was 3.33%,which was lower than that of 20.00%of the control group,and the difference was statistically significant(P<0.05).The recurrence rate of 0 in the experimental group was lower than that of 3.33%in the control group,and the satisfaction rate of 96.67%in the experimental group was higher than that of 86.67%in the control group,but the difference was not statistically significant(P>0.05).Conclusion Transabdominal preperitoneal repair is effective for patients with inguinal hernia,with less intraoperative blood loss,quick postoperative recovery,high safety,and low recurrence rate,which is worthy of clinical promotion.

关 键 词：腹腔镜经腹腹膜前疝修补术 腹腔镜全腹膜外疝修补术 腹股沟疝 有效性 安全性 

分 类 号：R656.21[医药卫生—外科学]