经腹腹膜前疝修补术与全腹膜外疝修补术治疗双侧腹股沟疝的效果比较  

Comparison of therapeutic effects between transabdominal preperitoneal hernia repair and total extraperitoneal hernia repair in the treatment of bilateral inguinal hernias

作　　者：李强 刘永庆[1] 童钟[1] LI Qiang;LIU Yong-qing;TONG Zhong(Hefei First People's Hospital,Hefei 230061,Anhui)

机构地区：[1]合肥市第一人民医院,安徽合肥230061

出　　处：《安徽医专学报》2024年第2期21-23,共3页Journal of Anhui Medical College

基　　金：合肥市卫生健康委科研课题项目(编号:HWK2021zd004)。

摘　　要：目的:分析并比较经腹腹膜前疝修补术(TAPP)与全腹膜外疝修补术(TEP)两种手术方式用于双侧腹股沟疝治疗的效果。方法:选取100例双侧腹股沟疝患者作为研究对象,根据手术方式不同分为TAPP组和TEP组,每组50例患者,观察两组患者手术期间及术后相关指标,比较两组的疗效。结果:TAPP组患者平均手术时间、治疗费用均高于TEP组,差异具有统计学意义(P<0.001)。TAPP组与TEP组患者术中出血量、疼痛持续时间、术后排气时间、住院时间以及术后12 h、24 h痛视觉模拟评分(VAS)比较,差异均无统计学意义(P>0.05)。两组患者手术有效率、复发率比较,差异均无统计学意义(P>0.05)。结论:经腹腹膜前疝修补术与全腹膜外疝修补术均可安全有效应用于双侧腹股沟疝的治疗,应根据患者身体状况合理选择适宜的手术方式,促进患者康复。Objective:To analyze and compare the effectiveness of transabdominal anterior peritoneal hernia repair(TAPP)and total extraperitoneal hernia repair(TEP)in the treatment of bilateral inguinal hernias.Methods:100 patients with bilateral inguinal hernia admitted were selected and divided into TAPP group and TEP group based on different surgical methods,with 50 patients in each group.Relevant indicators during and after surgery were observed in both groups,and the therapeutic effects of the two groups were compared.Results:The average surgical time and the average treatment cost of TAPP group patients which was higher than that of TEP group,and the difference was statistically significant(P<0.001).There was no significant difference(P>0.05)in intraoperative bleeding volume,pain duration,postoperative exhaust time,hospital stay,and visual analogue pain scale(VAS)between the TAPP group and the TEP group.There was no significant difference in the effective rate and recurrence rate between the two groups of surgeries(P>0.05).Conclusion:Both TAPP and TEP proved safe and effective for the treatment of bilateral inguinal hernia.Surgical method should be taken based on the clinical situation of each patient.

关 键 词：双侧腹股沟疝 腹腔镜 经腹腹膜前疝修补术 全腹膜外疝修补术 疗效 

分 类 号：R656.21[医药卫生—外科学]