TAPP与TEP治疗成人腹股沟疝的效果及对术后VAS评分和预后恢复的影响  

Effect of TAPP and TEP in the Treatment of Adult Inguinal Hernia and its Effect on Postoperative VAS Score and Prognosis Recovery

作　　者：曾仁仁 ZENG Renren(General Surgery Department of Nanfeng County People′s Hospital,Nanfeng 344500,Jiangxi,China)

机构地区：[1]南丰县人民医院普外科,江西南丰344500

出　　处：《医学信息》2024年第23期94-97,共4页Journal of Medical Information

摘　　要：目的研究TAPP与TEP治疗成人腹股沟疝的效果及对术后VAS评分和预后恢复的影响。方法选取2020年3月-2023年3月在我院诊治的90例成人腹股沟疝患者为研究对象,依据手术类型分为TAPP术组(n=45)和TEP术组(n=45)。比较两组术后VAS评分、手术指标、精索静脉管径、精索静脉血流速度、并发症发生率及复发率。结果TEP术组术后即刻、术后24 h、术后48 h的VAS评分与TAPP术组比较,差异无统计学意义(P>0.05);TEP术组手术时间、术后住院时间、术后下床活动时间均短于TAPP术组,术中出血量少于TAPP术组(P<0.05);两组术后精索静脉管径增大,静脉血流速度减小,且TEP术组精索静脉管径大于TAPP术组,静脉血流速度小于TAPP术组(P<0.05);TEP术组并发症发生率与TAPP术组比较,差异无统计学意义(P>0.05);随访6个月,TEP术组复发率与TAPP术组比较,差异无统计学意义(P>0.05)。结论TAPP与TEP均可治疗成人腹股沟疝,且安全性、预后均良好。但是TEP手术治疗患者术后恢复快速,同时对精索影响较小,相对具有更优的临床应用价值。Objective To study the effect of TAPP and TEP in the treatment of adult inguinal hernia and its effect on postoperative VAS score and prognosis recovery.Methods A total of 90 adult patients with inguinal hernia diagnosed and treated in our hospital from March 2020 to March 2023 were selected as the research objects.According to the type of operation,they were divided into TAPP group(n=45)and TEP group(n=45).The postoperative VAS score,surgical index,diameter of spermatic vein,blood flow velocity of spermatic vein,incidence of complications and recurrence rate were compared between the two groups.Results There was no significant difference in VAS scores between the TEP group and the TAPP group immediately after operation,24 h after operation and 48 h after operation(P>0.05).The operation time,postoperative hospital stay and postoperative ambulation time in the TEP group were shorter than those in the TAPP group,and the intraoperative blood loss was less than that in the TAPP group(P<0.05).The diameter of spermatic vein increased and the velocity of venous blood flow decreased in the two groups after operation,while the diameter of spermatic vein in the TEP group was larger than that in the TAPP group,and the velocity of venous blood flow was lower than that in the TAPP group(P<0.05).There was no significant difference in the incidence of complications between the TEP group and the TAPP group(P>0.05).After 6 months of follow-up,there was no significant difference in the recurrence rate between the TEP group and the TAPP group(P>0.05).Conclusion for adult inguinal hernia,both TAPP and TEP have good safety and prognosis.However,TEP surgery has a faster postoperative recovery and less impact on the spermatic cord,which has relatively better clinical application value.

关 键 词：TAPP TEP 成人腹股沟疝 精索 

分 类 号：R656.21[医药卫生—外科学]