腹腔镜腹膜前疝修补术与Lichtenstein平片疝修补术治疗腹股沟疝的疗效比较
| 作者: |
1王祥龙
1 浙江省温岭市第一人民医院 胃肠外科，浙江 温岭 317500 |
| 通讯: |
王祥龙
Email: cagdgm_app@sina.com |
| DOI: | 10.3978/.10.3978/j.issn.1005-6947.2016.04.020 |
摘要
目的：比较腹腔镜腹膜前（TAPP）疝修补术与Lichtenstein平片疝修补术治疗腹股沟疝的临床效果。方法：回顾性收集2013年12月—2015年12月受手术治疗的120例腹股沟疝患者资料，其中53例行腹腔镜TAPP术（TAPP组），67例行Lichtenstein术（Lichtenstein组），分析并比较两组患者的相关临床指标。 结果：与Lichtenstein组比较，TAPP组手术时间（52.2 min vs. 79.6 min）、术后进食时间（12.2 h vs. 20.5 h）、下床活动时间（9.6 h vs. 21.8 h）、住院时间（3.9 d vs. 6.1 d）均减少（均P<0.05）；但治疗费用（6 632.7元vs. 3 853.7元）增加（P<0.05）。两组术中出血量、术后并发症发生率及复发率差异均无统计学意义（均P>0.05）。结论：与Lichtenstein术相比，腹腔镜TAPP术治疗腹股沟疝创伤更小，且安全可靠，是临床上较佳的治疗选择之一。
关键词：
疝，腹股沟
疝修补术
腹腔镜
Laparoscopic transabdominal preperitoneal repair versus Lichtenstein onlay patch repair for inguinal hernia
CorrespondingAuthor:WANG Xianglong Email: cagdgm_app@sina.com
Abstract
Objective: To compare the clinical efficacy of laparoscopic transabdominal preperitoneal (TAPP) herniorrhaphy and Lichtenstein onlay patch repair for inguinal hernia. Methods: The clinical data of 120 patients with inguinal hernia undergoing surgical treatment from December 2013 to December 2015 were retrospectively collected. Of the patients, 53 cases received laparoscopic TAPP repair (TAPP group) and 67 cases underwent Lichtenstein procedure (Lichtenstein group). The main clinical variables between the two groups of patients were analyzed and compared. Results: In TAPP group compared with Lichtenstein group, the operative time (52.2 min vs. 79.6 min), time to postoperative food intake (12.2 h vs. 20.5 h) and ambulation (9.6 h vs. 21.8 h) as well as length of hospital stay (3.9 d vs. 6.1 d) were all reduced (all P<0.05). The cost of treatment (6 632.7 yuan vs. 3 853.7 yuan) was increased (P<0.05). No statistical difference was noted in intraoperative blood loss, incidence of postoperative complications and recurrence rate between the two groups (all P>0.05). Conclusion: For inguinal hernia, laparoscopic TAPP repair is less invasive compared with Lichtenstein technique, and is also safe and reliable. So it is a favorable treatment option in clinical practice.
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