摘要
目的研究治疗复发性腹股沟疝中腹腔镜完全腹膜外疝修补术(TEP)与腹腔镜经腹腹膜前疝修补术(TAPP)的疗效及安全性。方法分析2014年3月‐2015年3月该院接受治疗的88例复发性腹股沟疝患者的资料,将其按照手术治疗的不同方式分为两组:TEP组和TAPP组,观察两组患者的治疗效果及复发情况。结果 TEP组患者的手术时间、下床活动时间、术后肛门排气时间及术后24 h疼痛视觉模拟量表(VAS)评分状况明显优于TAPP组;术中出血量明显多于TAPP组(P<0.05);术后的并发症尿潴留、血清肿、中转开腹、不完全性肠梗阻、术后复发情况相比差异无统计学意义(P>0.05)。结论采用TEP治疗复发性腹股沟疝术后患者恢复较采用TAPP的快些,且两组手术治疗下患者的症状能够得到较好的改善,安全性较高,较好地降低复发率。
【Objective】To study the efficacy and safety of totally extraperitoneal（TEP） repair and transabdominal preperitoneal（TAPP） repair in treating recurrent inguinal hernia.【Methods】Patient data of 88 cases with recurrent inguinal hernia accepted to our hospital from March 2014 to March 2015 were analysed, and were divided into two groups according to different surgical treatment： TEP group and TAPP group. The treatment effect and relapse in the two groups were observed.【Results】The operative time, ambulation time and postoperative anal exhaust time in TEP group were signifi cantly shorter than those in TAPP group, postoperative Visual Analogue Scale（VAS） pain score at 24 h in TEP group was signifi cantly better than that in TAPP group, and intraoperative blood loss in TEP group was signifi cantly higher than that in TAPP group（P〈0.05）; there were no signifi cant differences in post-operative complications such as urine retention, seroma, conversion to laparotomy, incomplete intestinal obstruction, and postoperative recurrence（P〉0.05）.【Conclusion】Patients with recurrent inguinal hernia have a faster recovery when treated with TEP approach than those treated with TAPP approach. Both the two surgical management can improve patient symptoms effectively, reduce the relapse rate effectively and have high security.
出处
《中国医学工程》
2016年第2期16-18,共3页
China Medical Engineering
